The nurse has an order to perform occult blood testing on a patient's emesis. The nurse recognizes that the test is positive for occult blood when the sample turns:
a. red.
b. blue.
c. green.
d. yellow.
B
If the sample turns blue, the test is positive for occult blood; if it turns green, it is negative for occult blood.
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The nurse is identifying a nursing diagnosis applicable to a specific population. What should the nurse include when making this diagnosis determination? (Select all that apply.)
1. Population at risk. 2. Potential adverse risk. 3. Factors contributing to the risk. 4. Evidence to support the risk. 5. Population competencies.
You have just received a postoperative patient from the PACU to the medical-surgical unit. Your patient is an 84-year-old female who had surgery for a left hip replacement
What is a primary concern for this patient in the first few hours on the unit? A) Ability to ambulate B) Clean dressings on the surgical site C) Neurologic status D) Ability to communicate
Two hours after delivery, a client's fundus is boggy and has risen to above the umbilicus. What is the first action the nurse would take?
1. Massage the fundus until firm 2. Express retained clots 3. Increase the intravenous solution 4. Call the physician
A nurse is providing education to the unit on adverse drug reactions to reduce the number of medication errors
After the teaching has been conducted, the nurse asks, "Which factor is a primary determinant of the intensity of an allergic drug reaction?" The participants' best response would be the a. dose of drug ingested. b. body surface area of the patient. c. patient's degree of compliance. d. degree of sensitization.