The nurse notes that urine does not flow after a female patient is catheterized. The nurse believes that the catheter has been placed into the vagin
a. Which action should the nurse take?
a. Remove the catheter and reinsert it.
b. Irrigate the catheter with saline.
c. Leave the catheter in place and insert another one.
d. Insert the catheter 9 to 10 inches farther into the patient to verify that it is in the vagina.
C
If no urine appears, check whether the catheter is in the vagina. If misplaced, leave the catheter in the vagina as a landmark indicating where not to insert it, and insert another catheter into the meatus. Reinserting a catheter that has already been contaminated by vaginal exposure could lead to urinary tract infection.
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The grieving process is more difficult when a person:
a. has experienced many previous losses in life. b. was emotionally independent of the deceased. c. had few unresolved conflicts with the deceased. d. recognizes the deceased was an elderly person, so it was time for death.
Two patients are at the same stage of labor. One is lying still with her eyes closed and her breathing controlled, and the other is grasping the side rails and crying out with each contraction
The nursing assistant wants to know why the second patient is not quiet like the first. The nurse's best response is: a. "Tell her to be quiet because she is disturbing the other women." b. "There is no reason that she may be having more pain than anyone else." c. "People like her just like to be dramatic to get a lot of attention." d. "Some people believe that pain should be quietly endured; others express it freely."
The nurse makes a home visit to a client who has dysthymic disorder. The nurse can anticipate that the client's symptoms may include:
A) Low energy. B) Intense concentration. C) Agitation. D) Normal appetite.
In caring for the patient who is receiving epidural analgesia, which of the following is an appropriate nursing intervention?
a. Change the tubing every 48 to 72 hours. b. Change the dressing every shift. c. Secure the catheter to the outside skin. d. Use a large occlusive dressing over the site.