Inform the nurse if the mother
A. needs to urinate.
B. needs to have a bowel movement.
C. has not had a BM by the end of your shift.
D. has not voided by the end of your shift.
Answer: D
You might also like to view...
A home health nurse cautions the family of a frail 82-year-old woman about the intrinsic factors that may be a potential cause of injury. Which intrinsic factors should be included? (Select all that apply.)
a. Diminished vision b. Pet cats c. Cluttered bedroom d. Wearing loose house slippers e. Generalized weakness
The nurse is caring for a patient who is ordered to take nothing by mouth. The patient weighs 65 kg. What volume of intravenous fluid should this patient receive in 24 hours?
a. 2225 mL b. 2400 mL c. 2520 mL d. 2640 mL
The nurse is assessing a patient with chronic obstructive pulmonary disease (COPD). Which assessment finding indicates a potential complication and requires the nurse's immediate atten-tion?
a. Distended neck veins b. Left lower quadrant tenderness c. Urinary output of 40 mL/hr d. Excessive coughing
The nurse is caring for a patient who has a nursing diagnosis of acute postoperative pain after a gastrectomy. The patient has a nasogastric (NG) tube. What interventions should the nurse implement? (Select all that apply.)
a. Encourage total bedrest. b. Monitor NG tube functioning. c. Reposition NG tube once a shift. d. Provide pain medication as ordered. e. Start a regular diet once bowel sounds are detected. f. Evaluate pain regularly and report changes to the RN.