A nurse is monitoring a client after transurethral resection of the prostate for benign prostatic hypertrophy. The client has a bladder irrigation infusing, and the urine output is a light cherry color. The nurse performs a follow-up assessment 1 hour later and notes that the urine output is now bright red in color with clots and that the client's blood pressure has dropped. Which action by the nurse is appropriate?
A. Contacting the health care provider
B. Continuing to monitor the client
C. Increasing the flow rate of the intravenous (IV) solution
D. Placing pressure on the bladder to aid expulsion of any additional clots
Ans: A. Contacting the health care provider
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For a patient on oxygen therapy, it is important to check which areas for skin breakdown?
A) the chest B) the fingers C) the nostrils D) all of the above
A 70-year-old patient tells the nurse that he has noticed that he is having trouble hearing, especially in large groups. He says that he "can't always tell where the sound is coming from" and the words often sound "mixed up." What might the nurse suspect
as the cause for this change? a. Atrophy of the apocrine glands b. Cilia becoming coarse and stiff c. Nerve degeneration in the inner ear d. Scarring of the tympanic membrane
The nurse is assessing a patient with an endotracheal tube and notes decreased breath sounds on the left with normal sounds on the right. Which condition may cause this?
1. Pressure from a right pneumothorax 2. Misplacement of the endotracheal tube 3. High pulmonary pressures 4. Partial obstruction of the endotracheal tube 5. A large infiltrate in the left lung
Prescribing less-expensive generic drugs or drugs off the $4 retail pharmacy lists:
1. Increases the complexity of the pharmacoeconomics of prescribing for the individual patient 2. Increases compliance by reducing the financial burden of drug costs to the patient 3. Is not sound prescribing practice due to the inferiority of the generic products 4. Will increase the overall cost of drugs to the system due to the ease of overprescribing less-expensive drugs