The licensed practical nurse is employed as a charge nurse at a long-term care facility. A resident is ordered a catheterization schedule of every 6 hours due to chronic urinary retention

The LPN reports daily catheterization amounts from the previous day ranging from 450 mL to 800 mL. Which nursing action is most correct? A) Continue the same order.
B) Obtain an order to decrease the frequency of the catheterizations.
C) Obtain an order to increase the frequency of the catheterizations.
D) Leave the catheter in if obtaining a urine amount over 500 mL.


C
Feedback:
The charge nurse realizes that if the volume of urine obtained via catheterization is more than 400 mL, the client should be catheterized more often. The LPN would call for a change in orders citing the urine volume as the rationale. Leaving the catheter in place is only completed if necessary.

Nursing

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When the nurse engages in activities that involve potential problems or complications that are medical in origin, what is the primary nursing focus?

A) Giving discharge instructions B) Performing initial shift assessments C) Observing family dynamics D) Monitoring patients for complications

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The nurse is going over discharge instructions with the caregivers of a child who has osteomyelitis and is going home on oral medications. Which of the following discharge instructions is the most important for the nurse to give the caregivers?

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Nursing