Mosby Test Questions with correct answers

Which action would be appropriate when measuring I&O? CORRECT ANSWER Recording ice chips as 50% of measured volume Which condition places a patient at risk for increased fluid retention? CORRECT ANSWER Cushing disease Which daily I&O total should the nurse report to the practitioner immediately? CORRECT ANSWER Intake 2000 ml, output 900 ml (500-ml urine, 200-ml emesis, 200-ml liquid feces) Which patient is at greatest risk for fluid imbalance? CORRECT ANSWER 74-year-old patient with gastroenteritis Nursing interventions for patients with the potential for fluid imbalance abnormalities include which action? CORRECT ANSWER Measurement of all liquid (including IV) medications A patient has a Stage 2 pressure injury on the coccyx. The patient is being turned every 2 hours and is wearing elbow and heel protectors. What is needed to protect the patient from further injury? CORRECT ANSWER The heel and elbow protectors should be removed at least daily. The nurse is assessing the patient for skin breakdown. The nurse notices an area of erythema on the patient's buttock and should press on the area to detect which condition? CORRECT ANSWER Blanching A patient who is paraplegic has been admitted with a diagnosis of uncontrolled diabetes mellitus. The patient is able to m