You are caring for a client who have just returned to the surgical unit after a TURP. Which assessment finding will require the most immediate action?
A. Blood pressure reading of 153/88 mmHg
B. Catheter that is draining deep red blood
C. Client not wearing anti embolism hose
D. Client reports of abdominal cramping
Answer: B. Catheter that is draining deep red blood
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The nurse is caring for a critically ill patient who has experienced multiple trauma. The patient has high levels of pain from the injury and is receiving an intravenous opioid as treatment
In managing the patient's pain, what nursing action best demonstrates understanding of other factors that exacerbate pain in the critically ill patient? A) Provide supportive care without discussing it with the patient. B) Limit visits to immediate family for a few minutes at a time. C) Minimize care tasks during normal hours of sleep. D) Give higher doses of intravenous opioid as needed.
Which of the following is not considered a management decision role?
a. entrepreneur c. allocator of resources b. disturbance handler d. liaison
The nurse is preparing to admit a 7-year-old child with hepatitis B. What clinical features of hepatitis B should the nurse recognize? (Select all that apply.)
a. The onset is rapid. b. Rash is common. c. Jaundice is present d. No carrier state exists. e. The mode of transmission is principally by the parenteral route.
A nurse is assigned to care for a client with kidney stones. Assessment also reveals that the client has developed excess iron absorption and GI distress
Which of the following questions should the nurse ask the client to confirm the reason for the client's conditions? A) "Have you been drinking adequate amounts of water?" B) "Do you generally consume a lot of citrus fruits?" C) "Have you been consuming fortified soy-based meat substitutes?" D) "Have you been eating a diet low in carbohydrates?"