After a Foley catheter has been removed, the nurse should assess the patient carefully for:
a. hemorrhage.
b. constipation.
c. urinary retention.
d. bladder spasm.
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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Height and weight measurements are essential at every health care visit for clients in all age groups because these measurements:
a. document that basic client evaluation has been done b. provide data related to maturational level c. indicate the need for diagnostic follow-up d. signal possible onset of alterations that may indicate illness
The clinician should auscultate the abdomen to listen for possible bruits of the:
A. Aorta B. Renal artery C. Iliac artery D. All of the above
A patient is being evaluated in the emergency department for complaints of severe chest pain. The ECG confirms an ST-elevation myocardial infarction (STEMI). Which drug would the nurse anticipate administering for the relief of chest pain?
a. Meperidine (Demerol) b. Morphine c. Aspirin d. Hydromorphone (Dilaudid)
A client just delivered a baby by the vaginal route. The client asks the nurse why the baby's head is not round, but oval. Which explanation should the nurse give to the client?
a. This results from molding. b. This results from lightening. c. This results from the fetal lie. d. This results from the fetal presentation.