The nurse gives diligent catheter care to the clients in a nursing home because the nurse is aware that bacteria can migrate into the bladder in
a. 5 hours.
b. 10 hours.
c. 24 hours.
d. 72 hours.
C
Bacteria introduced into the urinary collection system can migrate to the bladder in 24 to 48 hours.
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A nursing instructor is teaching nursing students about cirrhosis of the liver
Which of the following statements about the complications of hepatic encephalopathy should indicate to the nursing instructor that further student teaching is needed? (Select all that apply.) 1. "A diet rich in protein will promote hepatic healing." 2. "This condition results from a rise in serum ammonia, leading to impaired mental functioning." 3. "In this condition, an excessive amount of serous fluid accumulates in the abdominal cavity." 4. "Neomycin and lactulose are used in the treatment of this condition." 5. "This condition is caused by the inability of the liver to convert ammonia to urea."
A researcher plans to use a proxy variable to measure the concept of patient outcome. Which of the following would be an appropriate variable to use?
A) Length of stay in hospital B) Medicare eligibility C) Falls risk D) Staffing ratios
The nurse caring for an elderly client who recently experienced a cerebral vascular accident (CVA or stroke) will recognize which of the following as signs of dysphagia? Select all that apply
1. Drooling 2. Frequent throat clearing 3. Pocketing of food in the cheeks 4. Anorexia 5. Slurred speech
A nurse visits the home of an 11-year-old child and finds the child caring for three younger siblings. Both parents are at work. The child says, "I want to go to school but we can't afford a babysitter. It doesn't matter though; I'm too dumb to learn."
What preliminary assessment is evident? a. Insufficient data are present to make an assessment. b. Child and siblings are experiencing neglect. c. Children are at high risk for sexual abuse. d. Children are experiencing physical abuse.