The nurse is assessing a client who had a discectomy 6 hours ago. Which client complaint requires priority action by the nurse?
a. "I am feeling tired."
b. "My mouth is so dry."
c. "I can't seem to relax and rest."
d. "I am unable to urinate."
D
Inability to void may indicate damage to the sacral spinal nerves. The other symptoms require the nurse to provide care but are not the priority or a complication of the procedure.
You might also like to view...
The elderly wife of a hospice client has reported experiencing difficulty sleeping, and a decreased appetite. The priority nursing diagnosis most likely to apply is
1. Grieving 2. Fear 3. Risk for Caregiver Role Strain 4. Interrupted family process
The nurse is about to tell a patient that her Pap smear result was abnormal. Which statement should the nurse include?
1. "The Pap smear is used to diagnose cervical cancer." 2. "A loop electrosurgical excision procedure (LEEP) is needed." 3. "Colposcopy to further examine your cervix is the next step." 4. "Your cervix needs to be treated with cryotherapy."
When are sustained-release nitroglycerin tablets administered?
a. Once a day b. At bedtime c. When symptoms of acute angina appear d. Every 8 to 12 hours
The nurse is presenting a class to a group of high school students about sexually transmitted infections. Which of the following would the nurse include as a major risk factor for cervical cancer?
A) Gonorrhea B) Chlamydia C) Syphilis D) Human papilloma virus