What should the initial assessment of a patient that just returned from surgery for the creation of an Indiana pouch include?
a. Drainage of urine from the Penrose drain at the operative site
b. Condition and color of the stoma
c. Appearance of mucus in the urine
d. Copious and odorous urine drainage from the incision
A
Indiana pouches initially have a Penrose drain to drain the small amount of urine; it will have mucus in it but no odor. No stoma exists to observe. Irrigations may be necessary to remove clots and mucus.
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Aggressive prevention measures should be implemented for a patient in the general population with a pressure ulcer risk on the Braden Scale of less than or equal to:
a. 16. b. 18. c. 20. d. 24.
In which type of distribution is the mean a higher value than the median or mode?
a. A leptokurtic distribution b. A positively skewed distribution c. A negatively skewed distribution d. A normal distribution
The nurse is reviewing laboratory results of a patient who had surgery 2 days ago. The nurse notes that the C-reactive protein is elevated. What potential problem does this finding indicate?
a. Impending infection b. Possible hemorrhage c. A drug allergic reaction d. Fluid deficit
Determine S.G.'s daily fluid maintenance requirements. How can her parents ensure this
intake and determine adequate hydration status? What will be an ideal response?