When providing care for a patient in need of an indwelling catheter, the nurse understands that which of the following is an indication for this need?
a. Presence of stage III and IV pressure ulcers
b. Presence a yeast infection
c. Need for inaccurate measurement of urinary output
d. Need to manage urinary elimination
A
Indications for an indwelling catheter include (1) the presence of stage III and IV pressure ulcers that cannot heal because of continual incontinence, and (2) the need for accurate measurement of urinary output in critically ill patients. The incidence of catheter-associated UTI significantly decreases when the nurse gives the prescriber daily reminders to remove unnecessary catheters and suggests the use of alternative noninvasive treatments to manage urinary elimination.
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A client is scheduled for a laparoscopy to remove endometriosis tissue. Which response by the client alerts the nurse of the need for further teaching?
a. "The surgeon told me that carbon dioxide would be infused into my pelvic cavity." b. "There will be one or more small incisions in order to visualize all of the organs." c. "There will be some shoulder pain after the procedure that may last 48 hours." d. "I can return to jogging my 3-mile routine in a few days."
A nurse is reading a research study that is based upon Martha Rogers' Science of Unitary Being model. The nurse notices that Rogers is not listed in the article references. How should the nurse interpret this finding?
1. This is likely a simple error of omission in the reference. 2. The researcher erroneously identified Martha Rogers as the developer of that model. 3. The researcher used secondary sources to learn about Rogers' theory. 4. Since Martha Rogers is no longer living, it is not necessary to include her in the reference list.
The nurse is assessing the patient admitted with pancreatitis. In doing so, the nurse:
a. palpates the pancreas for size and shape. b. emphasizes to the patient that pancreatic inflammation does not spread. c. assesses symptoms that could indicate involvement of the stomach. d. explains to the patient that back pain is not a sign of pancreatitis.
An adult whose weight is 106.2 kg is to receive a dosage of 3-6 mg/kg/hr. The solution strength is 1 g in 500 mL. Calculate dosage range in mg/hr and flow rate range in mL/hr
What will be an ideal response?