The nurse assesses the fundus of a woman who delivered one hour ago. The fundus is boggy and 2 cm above the umbilicus and to the right. Which complication is the most likely to occur with this patient?
A) Urinary infection
B) Excessive bleeding
C) A ruptured bladder
D) Bladder wall distention
Ans: B
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During a nursing assessment, an older adult tells the nurse about increasing loss of balance. Which patient teaching should the nurse implement to address musculoskeletal reasons for the loss of balance?
a. Exercise with light weights b. Stand on one foot at a time c. Train with the use of sit-ups d. Work out in a swimming pool
An example of monitoring outcomes in CQI would be:
A) Timeliness of medication administration B) Number of infections reported in clients with indwelling catheters C) Complaints related to room temperature D) Staffing ratios in ICU
What does readiness to learn imply for individuals?
A) Have acquired the skills necessary for what is to be learned B) Have the necessary motivation to learn C) Are in an atmosphere that encourages learning D) Are mature students with much experience
To minimize a common side effect associated with parenteral pentamidine, the nurse should administer:
a. antiemetics before infusion. b. the drug intramuscularly. c. the drug with the patient in a supine position. d. the drug with a 50% dextrose solution.