The student nurse asks the provider if she will prescribe an indwelling urinary catheter for a hospitalized patient who is incontinent. The provider explains that catheters should be utilized only when absolutely necessary because:
a. They are the leading cause of nosocomial infection
b. They are too expensive for routine use
c. They contain latex, increasing the risk for allergies
d. Insertion is painful for most patients
ANS: A
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The nurse gives discharge instructions to a person who has had a modified radical mastectomy of the right side to perform the "elbow pull-in." Place the steps of the exercise in appropriate order
(Separate letters by a comma and space as follows: A, B, C, D) a. Pull elbows forward until they touch b. Lower and straighten the arms c. Extend arms sideways to shoulder level d. Bring elbows back and extend arms e. Clasp hands behind neck
The spouse of a patient admitted with severe head injury tells the nurse that she believes her husband is going to recover because he is continuing to make movements without stimulation. What should the nurse explain to the spouse?
1. "With head injuries, the patient can continue to make movements, but these are reflexes that do not reflect brain function." 2. "Your husband will likely recover in time." 3. "As long as he has oxygen to the brain, he will recover." 4. "His movements indicate that his brain is dead."
A patient hospitalized with chronic obstructive pulmonary disease (COPD) is being discharged home on oxygen therapy. Which instruction should the nurse include in the discharge teaching?
a. Storage of oxygen tanks will require adequate space in the home. b. Travel opportunities will be limited because of the use of oxygen. c. Oxygen flow should be increased if the patient has more dyspnea. d. Oxygen use can improve the patient's prognosis and quality of life.
An elderly client has a fractured hip and is in Buck's traction. The client is disoriented and cannot express herself. At 0730 the client was calm. Now, at 0930, the client is restless and agitated. The nurse reviews the medication administration record. The last dose of opioid was at 0330. The nurse assesses the client's agitation may be from
a) Recurring pain b) Effects of the opioid medication c) Increased uptake of opioids d) Diminished pain perception