An emergency department nurse assesses a client with kidney trauma and notes that the client's abdomen is tender and distended and blood is visible at the urinary meatus
Which prescription should the nurse consult the provider about before implementation?
a.
Assessing vital signs every 15 minutes
b.
Inserting an indwelling urinary catheter
c.
Administering intravenous fluids at 125 mL/hr
d.
Typing and crossmatching for blood products
ANS: B
Clients with blood at the urinary meatus should not have a urinary catheter inserted via the urethra before additional diagnostic studies are done. The urethra could be torn. The nurse should question the provider about the need for a catheter; if one is needed, the provider can insert a suprapubic catheter. The nurse should monitor the client's vital signs closely, send blood for type and crossmatch in case the client needs blood products, and administer intravenous fluids.
You might also like to view...
The nurse is teaching a pregnant woman about the increased oxygen demand that develops during pregnancy. The nurse knows the patient comprehends the teaching when she makes the following statement:
a. "I may need to drink more fluids to make more oxygen." b. "I may need to take an iron supplement so that I am not anemic." c. "I will need a multivitamin supplement for several months." d. "I will need to eat more fruits and vegetables."
An 18-year-old girl has chosen not to attend a party in which alcohol will be consumed. Which value system is she most likely adhering to?
A) Role modeling B) Intimacy versus isolation C) Law-and-order orientation D) Autonomy versus shame and doubt
Blood plasma contains several different proteins, called __________, which, when activated, interact to produce a blood clot
A. petechiae B. pseudopods C. coagulation factors D. vasoconstrictors
Before a routine venipuncture or capillary puncture, the site typically is cleaned with:
a. isopropyl alcohol b. ethyl alcohol c. povidone-iodine solution d. soap and water