During insertion of a Foley catheter, the patient grimaces as the balloon is inflated. The nurse should:
a. withdraw the catheter.
b. ask the patient to bear down.
c. continue to inflate the balloon.
d. advance the catheter into the bladder.
D
Grimacing is a sign of pain indicating that the balloon might be in the urethra instead of the bladder. The catheter should be advanced before inflation.
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A neonatal nurse who is caring for newborns suggests the best time for a mother to first attempt breastfeeding is during which of the following stages of activity?
A. First period of inactivity and sleep B. First period of reactivity C. Second period of inactivity and sleep D. Second period of reactivity
Research that measures the Hospital Magnet Standards focuses on which of the following characteristics of an excellent work environment (select all that apply)?
a. Collaborative relationships between nurses and physicians b. Incident reporting c. Support for education d. Actual staffing ratios e. Patient-centered values
The nurse is caring for a patient who has had a plaster leg cast applied. Immediately post-application, the nurse should inform the patient that:
A) The cast will cool in 5 minutes. B) The cast should be covered with a towel. C) The cast should be supported on a board while drying. D) The cast will only have full strength when dry.
The nurse working in an oncology clinic is caring for a client diagnosed with breast cancer. The client reports anorexia and weight loss. The client's serum albumin is low, and there is visible muscle and fat wasting. Which term should the nurse use when documenting this client's appearance?
1. Malnutrition 2. Undernutrition 3. Overnutrition 4. Protein-calorie malnutrition