Nursing measures to prevent urinary complications include which of the following? Select all that apply
1. Monitoring urinary output
2. Having the patient void at least every 8 hours
3. Assisting the patient to urinate while in a sitting position
4. Assisting the patient to urinate while in a reclined position
5. Ensuring that the patient consumes at least 8 ounces of fluid every 2 hours
ANS: 1, 2, 3, 5
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The nurse assesses respirations on a postoperative client receiving morphine every four hours, and anticipates which of the following?
1. Morphine could cause a decrease in respirations. 2. The client could be in pain and have increased respirations. 3. The client might have increased respirations due to anxiety. 4. The client will have normal respirations.
A patient who has been diagnosed with Sjögren's syndrome will be given cevimeline for the treatment of xerostomia. The nurse will monitor for what therapeutic effect?
a. Reduction of salivation b. Stimulation of salivation c. Reduction of gastrointestinal peristalsis d. Improvement of fine-motor control
What action by student nurses indicates readiness for successful study habits?
a. Combining their study area with the space that they use to pay bills b. Color coding their materials from each class c. Keeping all materials and papers in one bin d. Cleaning their study area at the end of each semester
The nurse is caring for a patient who has possible kidney damage from high blood pressure. Which action should the nurse take?
a. Monitor glucose. b. Monitor urine color. c. Encourage fluids. d. Review creatinine level.