"Five minutes after receiving a preoperative sedative medication by IV injection, a patient asks the nurse to get up to go to the bathroom to urinate. Which of the following is the most appropriate action for the nurse to take?
A.) Assist patient to bathroom and stay next to door to assist patient back to bed when done.
B. Allow patient to go to the bathroom since the onset of the medication will be more than 5 minutes.
C. Offer the patient to use the urinal/bedpan after explaining the need to maintain safety.
D. Ask patient to hold the urine for a short period of time since a urinary catheter will be placed in the operating room."
Ans: C. Offer the patient to use the urinal/bedpan after explaining the need to maintain safety.
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The patient has a nursing diagnosis of risk for falls. Which goal is most important?
a. Patient will ambulate twice a day. b. Patient will have no symptoms of infection. c. Patient will perform activities of daily living. d. Patient will have no injuries during hospital stay.
The clinic nurse explains to the mother that the best age for teaching children about the names and function of sexual organs is approximately:
A) 5-6 years of age B) 6-7 years of age C) 8-9 years of age D) 9-11 years of age
A client is prescribed ammonium chloride. Which statement indicates an appropriate understanding after medication teaching?
1. "I will report sleepiness right away." 2. "This medication should make him a little shaky." 3. "Confusion will be normal for a day or so." 4. "The IV infusion is going to be painful."
When preparing to administer medication through a feeding route, the nurse correctly
1. Dissolves the medication in cold water. 2. Dissolves and administers each medication separately. 3. Flushes the tube with 30 to 60 mL apple or orange juice between administrations. 4. Mixes different medications together to simplify administration.