The initial assessment of a patient just returned from surgery for creation of an Indiana pouch would include:
1. drainage of urine from the Penrose drain at the operative site.
2. the condition and color of the stoma
3. the appearance of mucus in the urine.
4. copious and odorous urine drainage from the incision.
1
Indiana pouches initially have a Penrose drain to drain the small amount of urine; it will have mucus in it, but no odor. There is no stoma to observe. Irrigations may be necessary to remove clots and mucus.
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Which of the following instructions does the nurse give a client when antibiotic, antiviral, or antifungal agents are prescribed?
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A 7-year-old child is to begin taking methylphenidate (Ritalin SR) twice daily. The nurse should teach the parents to monitor the child closely for which of the following side effects of methyl-phenidate?
a. Insomnia b. Lethargy c. Increased appetite d. Urticaria
A patient admitted 14 hours ago following a motorcycle accident has received 20 units of blood due to massive hemorrhage
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The client receives three different medications through a nasogastric tube (NGT). Which fluid volume does the nurse anticipate instilling to administer medications by NGT properly?
1. 30 ml 2. 60 ml 3. 120 ml 4. 150 ml