The nurse has to complete a one-time catheterized urine specimen to determine residual urine volume in an older adult. Based on this information, what would be the anticipated amount of residual urine in the older adult?
A) 25–50 mL
B) 50–75 mL
C) 50–100 mL
D) 100–125 mL
C
Feedback:
Generally, residual urine should not exceed 50 mL in the young or middle-aged person or 50 to 100 mL in the older adult.
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The nurse is assisting a victim of an accident who requires bandaging of the right lower extremity. What should the nurse do when applying the bandage?
a. Use sterile material b. Leave the toes exposed c. Bandage the extremity tightly d. Bend the knee after bandaging
Caring is the foundation behind the profession of nursing. The nurse realizes that caring involves:
a. doing everything for someone else. b. sacrificing self-needs for the needs of others. c. refusing to accept negative feelings. d. creative problem solving and teaching.
The nurse delegates the application of an external urinary catheter to nursing assistive personnel (NAP), including application of an external urinary catheter. Which aspect of applying the ex-ternal catheter must the nurse perform?
a. Placing the adhesive from the kit to hold the catheter in place b. Checking the condition of the penis and scrotum before the procedure c. Providing perineal care before catheter placement d. Allowing a space between the tip of the penis and the catheter
During a period of cold weather, an older adult has been brought to the emergency department with suspected hypothermia. Which of the following assessments should the nurse prioritize with this client?
A) Palpation of the client's extremities to determine temperature B) Assessment of the client's level of consciousness C) Assessment of the client's core body temperature D) Interviewing to determine the client's sensation of cold