Which of the following is a recommended intervention if resistance is encountered and/or the catheter stretches during removal of a catheter supplying continuous wound perfusion?
A) Immediately attempt to remove the catheter again.
B) Wait 30 to 60 minutes and attempt to remove the catheter again.
C) If the catheter is still difficult to remove, use force to remove it.
D) Continue to apply tension if the catheter begins to stretch.
B
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Which nursing diagnosis is common to clients diagnosed with bipolar disease?
1. Imbalanced Nutrition: More than Body Requirements 2. Risk for Self-Harm 3. Ineffective Airway Clearance 4. Activity Intolerance
A postpartum patient is diagnosed with a vaginal laceration. What intervention will the nurse provide to the patient at this time?
A) Monitor vital signs every 30 minutes. B) Insert an indwelling urinary catheter. C) Provide stool softeners as prescribed. D) Weigh vaginal packing to estimate blood loss.
What methods should the nurse use to measure compliance to a treatment plan? (Select all that apply.)
a. Pill counts b. Chemical assays c. Direct observation d. Third-party reporting e. Monitoring therapeutic response
The nurse is caring for a client with psychosis-like symptoms. Which explanation of these symptoms to the family is the most appropriate?
1. The only causes for psychosis are schizophrenia and schizoaffective disorder. 2. Psychotic symptoms are only seen in clients with schizoaffective disorder. 3. Psychosis-like symptoms can be caused by a brain tumor, infection, cocaine use, and schizophrenia. 4. Psychotic symptoms are only seen in clients with schizophrenia.