During the resuscitation of a patient with severe multiple trauma, an order for placement of an indwelling urinary catheter is given
The nurse would question that order in the presence of which assessment findings? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Distention of the abdomen
2. Blood at the urethral meatus
3. Bruising across the perineum
4. BUN 40 mg/dL
5. Hyphema
2,3
Rationale 1: Abdominal distention may be the result of a full bladder, and insertion of an indwelling urinary catheter is the treatment indicated.
Rationale 2: Blood at the urethral meatus may indicate urethral trauma, which may be a contraindication to catheterization.
Rationale 3: Perineal bruising may result from internal bleeding, which could be a contraindication to catheterization.
Rationale 4: BUN can be elevated for a number of reasons, including hypovolemia. This is not a contraindication for catheterization.
Rationale 5: Hyphema is a collection of blood in the anterior chamber of the eye.
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Betty Neuman developed the nursing theory that promotes nursing interventions to assist individuals in reaching and maintaining the highest level of wellness possible. What is this theory known as?
a. Adaptation model b. Interpersonal model c. Systems model d. Self-care deficit model
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A 45-year-old man tells you that he drinks 3 oz of Scotch whiskey most evenings. His alcohol intake is considered.
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