Which method of assessment would best indicate that a client has a urinary complication?
1. Urine pH
2. Calculation of output
3. Urine-specific gravity
4. Calculation of intake
2
Rationale:
1. Urine pH can be used to identify certain conditions, but would not be part of the initial assessment.
2. Calculation of output would provide a better assessment of complete emptying of the bladder because overdistention can cause trauma to the bladder, displace the uterus, and cause infection.
3. Urine-specific gravity can be used to identify certain conditions but would not be part of the initial assessment.
4. Calculation of intake is incorrect.
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The postpartum client reports pain rated 4-5 and requests medication. The baby is crying and the mother thinks the baby is hungry. The nurse will:
1. Put the baby to breast while the nurse gets the client an analgesic. 2. Put the baby to breast and wait until after breastfeeding is completed for analgesia. 3. Administer the analgesic and give the baby a bottle so the mother doesn't have to breastfeed. 4. Give the analgesic immediately and then put the baby to breast.
Following a nephrectomy, which assessment finding is most important in determining nursing care for the client?
A) Urine output of 35 to 40 mL/hour B) Pain of 3 out of 10, 1 hour after analgesic administration C) SpO2 at 90% with fine crackles in the lung bases D) Blood tinged drainage in Jackson-Pratt drainage tube
When implementing the Community Health Promotion Model, which underlying principle should the nurse use in order to facilitate active participation?
a. Individuals should work in groups to complete necessary tasks. b. Individuals participating should represent all segments of the population. c. People will work together if they like the leadership. d. People will participate when they see the issues as worthy of their time.
The nurse is performing the Romberg's test and asks the client to stand with their feet together and eyes closed. Which is an expected finding during this assessment?
A. Having complete loss of balance. B. Exhibiting minimal swaying. C. Feeling moderately dizzy. D. Swaying from side to side.