Identify the instructions about the care of urinary system the nurse should give to a 44-year-old hospitalized woman who has an indwelling urinary catheter and IV who insists on going to the smoking room for a cigarette every few hours
a. Place the drainage bag on the floor when you are sitting to prevent pulling on the catheter.
b. Clamp the catheter before you leave and unclamp it when you return.
c. Loop the drainage tubing around the IV pole to keep it in place.
d. Hang the drainage bag on the pole at a level to keep it below your bladder at all times.
D
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A female patient who has been experiencing progressive syncope, dyspnea, and hypotension has been diagnosed with a third-degree atrioventricular (AV) block. The nurse should understand that the patient is experiencing these symptoms because:
A) Only some of the atrial impulses are being conducted through the AV node into the ventricles. B) Conduction of the electrical impulse is failing to progress beyond the atria to the ventricles. C) The patient's sinus node is failing to create an impulse. D) Impulses starting in a ventricle are being conducted through the ventricles before the next normal sinus impulse.
The nurse is preparing a care plan for a 72-year-old female hospitalized with asthma. The client is currently receiving oxygen at 2 L per nasal cannula. Her vital signs are respiratory rate of 28, heart rate of 86, and blood pressure of 108/52
Which of the following nursing diagnoses would be the highest priority for this client? A) Altered tissue perfusion, respiratory B) Injury, risk for C) Activity intolerance D) Infection, risk for
Which statement by a postpartum woman indicates that further teaching is not needed regarding thrombus formation?
a. "I'll stay in bed for the first 3 days after my baby is born." b. "I'll keep my legs elevated with pillows." c. "I'll sit in my rocking chair most of the time." d. "I'll put my support stockings on every morning before rising."
Which delegation should a UAP consider to have the highest priority?
a. Obtaining a routine blood glucose level from a patient with diabetes b. Giving a bath to a patient scheduled for a colonoscopy c. Feeding a patient who needs assistance doing so. d. Helping an elderly patient to the bathroom