Nurse–client interactions are considered productive when communication is aimed toward
A) Goal achievement
B) Compatible realities
C) Common understanding
D) Sharing values
Ans: C
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Following a cesarean section, a client's Foley catheter is discontinued at 2400 . She has not been able to void by 0600 and the fundus has risen from u/u to u+2 . What would be the correct nursing action?
a. After checking for a p.r.n. order, perform straight catheterization now. b. Ask her to notify you as soon as she feels an urgency to void. c. Ask if she has any bladder discomfort and medicate as ordered. d. Force fluids if she is able to take liquids.
For a client admitted with a history of chronic arterial insufficiency, the nurse would anticipate that physical assessment will reveal
a. rubor with elevation of feet. b. pallor when feet are dependent. c. diminished pedal pulses. d. warm, edematous skin.
A newborn in the nursery has a temperature of 97.4°F. What may happen first if the infant continues to be cold stressed?
A) Seizure B) Respiratory distress C) Cardiovascular distress D) Hypoglycemia
The nurse is monitoring a patient with chronic kidney disease. Which findings should the nurse realize indicates fluid overload? (Select all that apply.)
a. Periorbital edema b. Crackles in the lungs c. Postural hypotension d. Increased blood pressure e. Decreased pulse pressure f. Auditory wheezes on inspiration