Which sign may indicate postoperative hemorrhage in the client who had a prostatectomy?
a. blood pressure of 100/70
b. pulse of 92
c. temperature of 103 degrees Fahrenheit
d. bright red urine color persisting for several hours in the catheter drainage
D
Bright red urine color persisting for several hours in the catheter drainage may indicate postoperative hemorrhage. Report hemorrhage, hyperthermia, hypotension, and tachycardia to the physician right away.
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A patient has been taking a drug for several years and tells the nurse it is no longer working. The nurse learns that the patient has recently begun taking an over-the-counter antacid medication. What does the nurse suspect is occurring?
a. An adverse drug reaction b. A drug interaction c. Drug incompatibility d. Drug tolerance
A nurse notes that several of the patients on the unit have ear infections. Most of the children are very young. Children are more prone to ear infections than adults because:
a. The eustachian tube is not patent in infants and young children b. The eustachian tube is longer in infants than in adults and older children c. The eustachian tube is narrower than in adults and older children d. The eustachian tube is straighter than in older children and adults
An OR nurse is teaching a nursing student about the principles of surgical asepsis as a requirement in the restricted zone of the operating suite. What personal protective equipment should the nurse wear at all times in the restricted zone of the OR?
A) Reusable shoe covers B) Mask covering the nose and mouth C) Goggles D) Gloves
A nurse in community-based practice needs a variety of skills and talents while rendering care to patients in the community. Which are competencies of the community health nurse? (Select all that apply.)
a. Case manager b. Care giver c. Educator d. Advocate e. Counselor