The suprapubic area of a postoperative patient is distended. The patient states that he has not voided since surgery approximately 9 hours ago. What should be the nurse's first action?

a. Notify the head nurse or physician.
b. Insert a catheter and document insertion.
c. Seat the patient on the side of the bed to try to void.
d. Prepare the patient to return to surgery.


C
The patient should be encouraged to try to void in a natural position before other measures are taken. Seated on the bedside or on a bedside commode may make urination easier.

Nursing

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The nurse is administering a bolus tube feeding. Which strategy will be the most effective to reduce the risk of a clogged feeding tube?

1. Flushing the tubing with water before and after feedings and medications 2. Allowing the feeding container to run dry before adding the next container 3. Crushing solid medications and mixing them with formula when administering 4. Aspirating stomach contents frequently to check placement

Nursing

Which assessment finding is considered a normal change in an older patient's hematological system?

1. Mild anemia 2. Decrease in lymphocyte function 3. Decrease in platelet adhesiveness 4. Increased number of stem cells in the bone marrow

Nursing

The nurse is caring for a client on the client's first postoperative day. The client has a midline abdominal incision; is febrile; has coarse crackles throughout lung fields; and refuses to turn, cough, or breathe deeply

Which of the following nursing diagnoses is most appropriate? 1. Activity intolerance related to hypoxemia 2. Excess fluid volume related to fluid in lungs 3. Fatigue related to increased work of breathing 4. Ineffective airway clearance related to pain and inability to cough

Nursing

What is CAT and how does it relate to the NCLEX-RN exam?

a. CAT = continuous accessible teaching b. CAT = categorical adaptive technology c. CAT = computerized additive testing d. CAT =computerized adaptive testing

Nursing