The patient delivered her first child vaginally 7 hours ago. She has not voided since delivery. She has an IV of lactated Ringer's solution running at 100 ml/hr. Her fundus is firm, 1 FB U, to the right of midline
The best nursing action is to: 1. Massage the fundus vigorously.
2. Assess the patient's pain level.
3. Increase the rate of the IV.
4. Assist the patient to the bathroom.
4
Rationale 1: The location of the fundus and the time since delivery indicate that the bladder is distended. Emptying the bladder is the top priority.
Rationale 2: This is not important at this time. Emptying the bladder is the top priority.
Rationale 3: Emptying the bladder is the top priority. A distended bladder is an indication that hydration is adequate.
Rationale 4: Emptying the bladder is the top priority.
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A patient's health care provider wrote a prescription for an antibiotic for an upper respiratory infection. According to safe medication practice standards, the nurse should transcribe the order as which of the following?
a. .5 mg b. 5.0 mg c. mg d. 0.5 mg
Before insertion of the radioactive implant, the nurse tells the patient what to expect while it is in place. Which statement is accurate?
a. "Nurses will always be available, but they will spend only short periods of time at your bedside." b. "Personal cleanliness is essential, so you will be given a complete bed bath each day." c. "Pain or discomfort is a common side effect of this type of radiation." d. "Your bed linens will be completely changed each day to minimize radioactive contamination."
Which of the following factors is not implicated in rising healthcare costs?
a. Rising expectations of consumers for cure and care b. Marketing of drugs to consumers c. Large administrative staffs to process medical billings d. Rising Medicare costs
What is the central purpose of the model developed by Benner in the Model of Skill Acquisition in Nursing?
A) The model demonstrates the need for nurses to conduct research. B) The model focuses on the need for caring for clients. C) The model seeks to describe clinical expertise including six areas of practical knowledge. D) The model is useful in assessing a nurse only in the first year of practice.