Nokea
A client voided clear, yellow urine.
- A. The client is dehydrated.
- B. The client has a urinary tract infection.
- C. The client has normal urine output.
- D. The client has kidney stones.
Correct Answer: C
Rationale: Clear, yellow urine indicates hydration.
You may also like to solve these questions
The nurse is preparing to administer lorazepam 1.5 mg IV to an anxious preoperative client. The medication is available in a 2 mg/mL vial. Which action should the nurse perform with the remainder of the medication?
- A. Withdraw the medication into a syringe and label with the client’s name.
- B. Ask another nurse to witness the medication being discarded.
- C. Place the vial with the remainder of the medication into a locked drawer.
- D. Throw the vial into the trash in the presence of another nurse.
Correct Answer: B
Rationale: Witnessed disposal ensures compliance.
The nurse is administering an intradermal (ID) injection to a client. Which action should the nurse take?
- A. Ensure bevel of the needle is pointing up.
- B. Massage the site gently after injection.
- C. Hold the syringe perpendicular to the skin.
- D. Select upper arm as the injection site.
Correct Answer: A
Rationale: Bevel up ensures proper delivery.
When assessing a client with a serum potassium level of 7.5 mEq/L (7.5 mmol/L), which intervention is most important for the nurse to implement?
- A. Assess strength of deep tendon reflexes.
- B. Determine apical pulse rate and rhythm.
- C. Observe color and amount of urine.
- D. Compare muscle strength bilaterally.
Correct Answer: B
Rationale: Hyperkalemia risks arrhythmias; cardiac monitoring is critical.
Which intervention should the nurse include in the plan of care for a terminally ill client who is weak, mouth breathing, and refusing anything to eat or drink?
- A. Record the client’s daily weight.
- B. Maintain in high Fowler’s position.
- C. Keep mucous membranes moist.
- D. Report any change in urine color.
Correct Answer: C
Rationale: Moist membranes enhance comfort.
The nurse is preparing to give an emergency sedative injection to an agitated client. Which action by the nurse comprises a tort?
- A. Administering the medication to a client behind a closed curtain.
- B. Informing a client that the medication being administered is a vitamin.
- C. Placing a client in restraints without having a healthcare provider’s order.
- D. Enlisting security personnel to assist with restraining the client.
Correct Answer: B
Rationale: Deception violates informed consent.