When the nurse is caring for a patient who reports he has blood that begins when he initiates the urine stream and then abates. Based on underlying pathophysiology, the nurse concludes that the hematuria is occurring in which location?
a. In the kidney
b. Above the neck of the bladder
c. In the neck of the bladder
d. In the urethra
D
Gross hematuria indicates bleeding from some point in the urinary tract. If the blood is noticed as soon as voiding starts, it is likely that the blood is from somewhere in the urethra. Blood that ap-pears at the end of urination probably comes from near the neck of the bladder. Bleeding throughout voiding indicates that the blood is coming from a site above the neck of the bladder because the blood has been well mixed with the urine in the bladder.
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A child with acute glomerulonephritis is in the playroom, and experiences blurred vision and headache. Which of the following actions should be taken by the nurse?
1. Check the urine to see if hematuria has increased. 2. Obtain a BP on the child; notify the physician. 3. Reassure the child, and encourage bedrest until the headache improves. 4. Obtain serum electrolytes, and send a urinalysis to the lab.
In communicating bad news about a diagnosis to an older patient, the nurse should do which of the following first?
a. find out what the patient wants to know b. communicate the news gently c. find out what the patient knows d. respond to feelings
A nurse is assigned to take vital signs in a pediatric unit. Which of the following sites would be most appropriate for taking the blood pressure of children?
A) Popiteal B) Temporal C) Brachial D) Radial
A patient shows loss of consciousness, jaw clenching, contraction and relaxation of muscle groups, and periods of cyanosis. The nurse correctly identifies this as which type of seizure?
a. Tonic-clonic b. Petit mal c. Myoclonic d. Atonic