An indwelling urinary catheter is inserted for a woman with a high spinal cord injury who has had a cesarean birth. As you walk into her room, you notice her face is reddened and she says she has a sharp headache
You take her blood pressure and discover it is 160/120 . Which of the following would you do first?
A) Lower her head and ask her to breathe slowly in and out.
B) Raise her head and assess the catheter for blockage.
C) Immediately cut and remove the indwelling catheter.
D) Sit her up abruptly and massage her lower back.
B
You might also like to view...
After teaching a diabetic patient about proper disposal of used syringes and needles, which statement by the patient indicates a need for further teaching?
a. "Even needles with sleeves should be disposed of appropriately." b. "It is unusual that anyone could get a needle injury or disease from used needles." c. "It is important for me to use the designated container to dispose of my syringes and needles." d. "I am going to purchase the ‘Sharps by Mail Disposal System' once I am home."
First Aiders who help injured victims are rarely sued.
-True -False
A client with schizophrenia is described as "having difficulty with executive functions." What can the nurse expect to assess behaviorally?
1. Inability to speak 2. Inhibited behaviors 3. Poor response to social cues 4. Uncoordinated movements
A patient, newly diagnosed with Parkinson's disease, has been prescribed an anticholinergic drug. What common adverse effect of anticholinergic agents used for the treatment of Parkinson's disease will the nurse share with the patient?
A) Blood dyscrasias B) Diaphoresis C) Memory loss D) Diarrhea