A patient has a nephrostomy tube that has been inserted because of an obstruction in the ureter. What special precautions in the care of the nephrostomy tube should the nurse implement?
a. Clamping every 2 hours to allow expan-sion of the kidney pelvis
b. Instilling no more than 50 mL of sterile water if sterile irrigations are ordered
c. Being certain the tube is connected, not kinked, or not clamped to ensure that it continually drains
d. Leaving the nephrostomy site open to air
C
Because of the small capacity of the renal pelvis, drainage must be continuous; otherwise, the urine may back up and destroy the kidney.
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A nurse teaches a community group about food poisoning and gastroenteritis. Which statements should the nurse include in this group's teaching? (Select all that apply.)
a. "Rotavirus is more common among infants and younger children." b. "Escherichia coli diarrhea is transmitted by contact with infected animals." c. "To prevent E. coli infection, don't drink water when swimming." d. "Clients who have botulism should be quarantined within their home." e. "Parasitic diseases may not show up for 1 to 2 weeks after infection."
What is the term for when members of a particular ethnic group believe that their beliefs and practices are the best?
a. Prejudice b. Separatism c. Ethnocentrism d. Bias
A nurse finds a psychiatric advance directive in the medical record of a patient experiencing psychosis. The directive was executed during a period in which the patient was stable and competent. The nurse should
a. ensure that the directives are respected in treatment planning. b. review the directive with the patient to ensure that it is current. c. consider the directive only if there is a cardiac or respiratory arrest. d. realize that such directives address only the use of psychotropic medication.
The nurse is teaching a patient how to use a condom. Which instructions will the nurse provide?
a. Store in a warm lit space. b. Use massage oils for lubrication. c. Rinse and reuse the condom if needed. d. Hold onto the condom when pulling out.