After a Foley catheter has been removed, the nurse should assess the patient for:
a. hemorrhage.
b. constipation.
c. urinary retention.
d. bladder spasm.
ANS: C
While an indwelling urinary catheter is in place, the bladder loses tone and can retain urine after the removal of the catheter.
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Protein in the urine usually is indicative of
A) glomerular disease. B) pregnancy. C) diabetes. D) hypertension.
Mitral commissurotomy has which of the following advantages over mitral valve replacement?
1 . eliminates the need for anticoagulation on warfarin 2 . reduces the risk of endocarditis 3 . decreases need for reoperation 4 . replaces all mitral valve replacement surgeries 5 . decreases risk of stroke 6 . increases survival rates A) 1, 2, and 3 B) 2, 3, and 4 C) 1, 5, and 6 D) All of the above are correct.
A nurse is administering an intramuscular injection to a client using the Z-track technique. Which of the following actions should the nurse perform during this administration?
A) Withdraw the needle and release taut skin immediately after injection. B) Depress the plunger with the index finger of the nondominant hand. C) Apply pressure and massage the site immediately after withdrawing the needle. D) Use the side of the hand to pull the tissue laterally about 1 in. before injection.
You told your co-worker that one of the co-worker's clients is a prostitute
The client's physician had shared this information with you in confidence and did not believe it was essential for the rest of the staff to know because it did not affect the client's current treatment. Which of the following principles did you breach? 1. autonomy 2. fidelity 3. confidentiality 4. beneficence