N.H. is started on sulfamethoxazole 800 mg/trimethoprim 160 mg (Bactrim dS) 1 tab PO bid× 10 days
However, 2 days later, N.H. is in the bathroom and she is very upset.
She has just voided; there is blood
on the toilet, and the water is bright red with blood. You help the nursing assistive personnel (NAP) clean
N.H. and help her into bed.
Describe your assessment steps.
• Examine the perineal area to determine whether the blood is originating from the urethra, vagina,
or rectum.
• Take a full set of vital signs.
• Assess the abdomen for pain, tenderness, or rigidity.
• Obtain recent urinary elimination history from N.H. (I&O, frequency of urination, presence of
dysuria, nausea and vomiting, chills).
• Review her medical record for the most recent laboratory results for hemoglobin/hematocrit and
PT/INR.
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The nurse is caring for a patient with swallowing concerns and decreased level of consciousness. The nurse knows to put the patient in what position for oral care?
a. High Fowler's b. Prone c. Side lying d. Low Fowler's
A patient who has urinary incontinence is at risk for urinary tract infection and urinary calculi. What should the nurse teach the patient and family regarding the best way to prevent these com-plications?
a. Restrict the patient's fluid intake and fre-quency of incontinence. b. Be sure the patient's voiding schedule is no more often than every 4 hours. c. Use an indwelling catheter. d. Encourage the patient to void at least every 2 hours and to take at least 2000 mL of fluid daily.
Which action should the nurse take to ensure an intravenous infusion will be administered safely to an infant?
A) Add a calibrated fluid chamber to the line. B) Use a large-bore needle to prevent plugging. C) Use a rolled pillowcase instead of a hard arm board. D) Hang the infusion bag no higher than 4 ft above the infant's head.
A client is scheduled for a guillotine amputation and is crying, stating that he/she cannot live with "such an ugly leg." The information from the nurse that would best help the client cope with the upcoming surgery is to tell the client that
a. in another operation, the stump edge will be covered with a skin flap. b. it is either have the amputation or die from the infection. c. later cosmetic surgery is an option if the amputation cures the infection. d. while wearing a prosthesis, no one will be able to see the "ugly leg."