The nurse notes the amount and color of the urine the patient with urolithiasis has voided. While using Standard Precautions, what should be the nurse's next action?
a. Discard the urine
b. Add the urine to a 24-hour collector
c. Send the urine to the laboratory
d. Strain the urine
ANS: D
All urine should be strained. Because stones may be any size, even the smallest speck must be saved for assessment by the laboratory.
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The recommendation for an infant's sleeping position is now "back to sleep." Which nursing intervention is needed to prevent flattening of the occipital bones?
1. Place an infant hat on the head of the infant during sleep for the first three months of life. 2. Allow the infant to sleep on his abdomen while an adult is present and observing the infant during sleep. 3. Alternate the head position from left to right during sleep. 4. Wrap the occipital portion of the infant's head with an ace bandage for 20 minutes each day.
A patient is transported to the emergency room from a local skilled nursing facility and admitted for a bacterial blood infection. The nurse reviews the transferring physician notes, which indicate that the patient has dementia
The nurse contacts the patient's son for additional health history information. Information provided by the son would be considered: a. primary, objective data. b. primary, subjective data . c. secondary, objective data. d. secondary, subjective data.
You are admitting two new patients to your unit. They are both status post knee replacements. What would be the best explanation as to why their care plans may be different from each other?
A) One patient is male and the other is female. B) Patients are viewed as unique and dynamic. C) One patient had a right knee replaced and the other had a left knee replaced. D) Patients are viewed as dissimilar according to their ages.
Which scenarios would the nurse identify as a quasi-intentional tort rather than an intentional tort?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. A visitor refuses to leave the patient's room after upsetting the patient and being asked to leave. 2. The physician accuses the nurse of incompetence in front of the patient's family. 3. The nurse tells the patient that if he does not starting drinking fluids, an intravenous line will be necessary. 4. The nurse physically restrains a patient so that intravenous access can be obtained. 5. The nursing student takes a cellphone picture of a patient's leg wound to show her classmates.