A nurse is preparing to place a Foley catheter. First, the nurse should
1. Apply sterile gloves.
2. Clean the urinary meatus with soap and water.
3. Prepare a sterile field with the needed supplies.
4. Fill the balloon with 5 mL sterile normal saline.
ANS: 2
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Conditions that may interfere with the newborn's smooth transition to extrauterine life include which of the following?
a. Hypovolemia c. Transient bradycardia b. Hyperglycemia d. Hypercalcemia
Motor vehicle injuries are a significant threat to young children. Knowing this, the nurse plans a teaching session with a toddler's parents on car safety. Which will she teach? Select all that apply
a. Secure in a rear-facing, upright car safety seat. b. Place the car safety seat in the rear seat, behind the driver's seat. c. Harness safety straps should fit snugly. d. Place the car safety seat in the front passenger seat equipped with an airbag. e. After the age of 2 years, toddlers can be placed in a forward-facing car seat.
A nurse notes that the cardiac output, systolic blood pressure, and pulse pressure are beginning to decrease rapidly in a client being treated for septic shock. What conclusion can the nurse draw from these changes?
A. Respiratory acidosis will follow quickly. B. Compensatory mechanisms are being activated. C. The client is in the hypodynamic phase of septic shock. D. The therapy for septic shock is beginning to demonstrate effectiveness.
What is the main purpose of the evaluation phase of the nursing process?
A. To analyze the patient's symptoms B. To obtain objective data from the patient. C. To determine if patient outcomes are met D. To determine the best interventions for the patient