Ms. S is a 55-year-old woman who is morbidly obese and 2 days postoperation for knee surgery. You notice a strong scent of urine when you enter the room. There is a bedside commode and a bedpan in the room. What should you do first?

A. Instruct the UAP to assist the patient with hygiene.
B. Try to determine the source of the urine odor.
C. Check the intake and output (I & O) record for urine output and the nurses' notes for problems with voiding.
D. Review the medical records for a history of urinary incontinence.


B

Nursing

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In the 2009 study by Dall et al. regarding the economic value of nursing the researchers examined the relationship between registered nurse staffing levels and nursing-sensitive patient outcomes (NSOs) in acute care hospitals

Which option(s) represent nursing-sensitive indicators like the ones examined by these researchers? Standard Text: Select all that apply. 1. Community-acquired pneumonia. 2. Patient complaints. 3. Pressure ulcers. 4. Traumatic wound infection rate. 5. Deep vein thrombosis.

Nursing

Which information will the nurse include in patient teaching for a 36-year-old patient who is scheduled for stereotactic core biopsy of the breast?

a. A local anesthetic will be given before the biopsy specimen is obtained. b. You will need to lie flat on your back and lie very still during the biopsy. c. A thin needle will be inserted into the lump and aspirated to remove tissue. d. You should not have anything to eat or drink for 6 hours before the procedure.

Nursing

The nurse is developing a teaching plan for a client undergoing a tubal ligation. What information should be included in the plan?

1. The surgical procedure is easily reversible. 2. Laparotomy is performed following a vaginal birth. 3. Minilaparotomy is performed in the postpartum period soon after a vaginal birth. 4. Tubal ligation can be done at any time the woman is either pregnant or not pregnant.

Nursing

The microscopic examination of scrapings from the cervix, endocervix, or other mucous membranes to detect premalignant or malignant cells is called:

a. Bimanual palpation. c. A Papanicolaou (Pap) test. b. Rectovaginal palpation. d. A four As procedure.

Nursing