The nurse is caring for a patient with cancer of the bladder who has returned from the postanesthesia care unit (PACU) after surgery that resulted in the creation of an ileal conduit
The nurse is monitoring the patient's urine output hourly and notifies the physician when the hourly output is less than:
A) 30 mL
B) 50 mL
C) 100 mL
D) 125 mL
Ans: A
Feedback: A urine output below 30 mL/hour may indicate dehydration or an obstruction in the ileal conduit, with possible backflow or leakage from the ureteroileal anastomosis.
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The vertebra prominens is found at which level in the human body?
a. C1 c. C7 b. C2 d. T1
The nurse intends to lobby the state legislature to write a new code of ethics for the nurses in the state. Is this an appropriate idea?
1. No, federal lawmakers have jurisdiction over codes of ethics. 2. No, the code of ethics is the product of hospital associations across the nation. 3. No, professional nursing organizations write the code of ethics for nurses. 4. Yes, the code of ethics is written and published by individual state legislatures.
A patient is brought to the emergency department after coming in contact with organophosphate insecticides while at work. The nurse will expect to administer which medication to reverse the toxic effects of this substance?
a. Atropine sulfate b. Diazepam c. Epinephrine d. Flumazenil
What is the new staff nurse's immediate duty when a patient discloses a plan to kill a family member upon release from the hospital?
a. Discuss the statement with the patient's mental health team but otherwise keep the information confidential. b. Immediately contact the family member and provide a verbal warning concerning his or her physical safety. c. Inform the patient that the local police department will be called and that oral and written reports will be filed. d. Document the information in the patient's medical record, and notify the nursing supervisor of the statement.