The nurse is caring for an older patient who is prone to developing urinary tract infections (UTIs). Which method of bladder emptying should be recommended for this patient?
A. Intermittent catheterization
B. Timed intervals for taking patient to bathroom to void
C. Indwelling urinary catheterizations
D. Credé method
Answer: A
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A student nurse questions the instructor regarding what alteration should be made for the assessment of the fundus of a new postoperative cesarean section patient
What is the best response? a. The fundus is not assessed until the second postoperative day. b. The fundus is assessed by "walking" fingers from the side of the uterus to the midline. c. The fundus is assessed only if large clots appear in lochia. d. The fundus is assessed only once every shift.
Which of the following aspects helps the nurse to detect cerebrospinal fluid (CSF) drainage when examining a client after a significant head injury?
A) Change in the level of consciousness (LOC) B) Signs of increased intracranial pressure (IICP) C) Halo sign D) Swelling
A client with a spinal cord injury (SCI) has a nursing diagnosis of Risk for Ineffective Tissue Perfusion related to the effects of neurogenic shock
The nurse includes which of the following interventions in the client's plan of care to best address this issue? Select all that apply. 1. Utilize abdominal binder and thigh-high compression stockings. 2. Administer vasoactive agents and atropine as ordered. 3. Strictly monitor and document intake and output. 4. Administer anticoagulant medication as ordered. 5. Assess color, temperature, and size of extremities.
Signs that a child is exhibiting respiratory distress include: (Select all that apply.)
1. Nasal flaring. 2. Synchronized rise and fall of the abdomen and the chest. 3. A capillary refill of less than three seconds. 4. Grunting. 5. Intercostal retractions.