During labor, a woman's bladder should be assessed at least every 2 hours because:
a. An empty bladder suggests kidney failure.
b. Bladder fullness indicates adequate hydration.
c. A full bladder may interfere with labor progress.
d. The woman may be unable to tell whether the bladder is full.
ANS: C
A full bladder may affect contractions and delay the progress of labor.
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Plantar creases need to be evaluated within a few hours of birth because:
a. the newborn has to be footprinted. b. as the skin dries, the creases will become more prominent. c. heel sticks may be required. d. creases will be less prominent after 24 hours.
A patient with bladder cancer undergoes a total cystectomy and ileal conduit. Postoperatively, the nurse notes mucus in the patient's urine. Which nursing intervention is most appropriate?
A) Informing the physician that the patient has a urinary tract infection B) Obtaining a urine specimen for culture and sensitivity C) Monitoring for other signs and symptoms of infection D) Explaining to the patient that this is normal after this type of surgery
When assessing the patient with high-output heart failure, the nurse is most likely to find:
A) vasoconstriction and hypotension. B) vasoconstriction and hypertension. C) vasodilation and hypotension. D) vasodilation and hypertension.
Which glycoprotein protects against urolithiasis and is a ligand for lymphokines?
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