A client is going home after urography. Which instruction or precaution does the nurse teach this client?
a. "Avoid direct contact with the urine for 24 hours until the radioisotope clears."
b. "You may have some dribbling of urine for several weeks after this procedure."
c. "Be sure to drink at least 3 liters of fluids today to help eliminate the dye faster."
d. "Your skin may become slightly yellow from the dye used in this procedure."
C
Dyes used in urography are potentially nephrotoxic. A large fluid intake will help the client eliminate the dye rapidly. The other statements are not accurate.
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Infectious mononucleosis is suspected in a client being seen in the clinic. In addition to swollen lymph glands and an increased lymphocyte count, the nurse can expect the client to:
A) complain of headaches and malaise. B) have an enlarged liver. C) have petechiae over the anterior chest. D) report having insomnia.
The nurse is admitting a patient with a neck fracture at the C6 level to the intensive care unit. Which assessment finding(s) indicate(s) neurogenic shock?
a. Hyperactive reflex activity below the level of injury b. Involuntary, spastic movements of the arms and legs c. Hypotension, bradycardia, and warm, pink extremities d. Lack of sensation or movement below the level of injury
The nurse manager delegated the task of making client assignments to the staff nurse. How would the nurse manager evaluate the results of the delegation?
a. Ask other staff to supervise the nurse manager's work b. Ask personnel if they are happy about the assignments c. Correct the staff nurse's work d. Use performance standards to evaluate
The nurse is performing venipuncture on a client to obtain blood for ordered tests. Which of the following is a recommended guideline for this procedure?
A) Apply the tourniquet about 4 to 6 inches above the proposed site. B) Check for the presence of an apical pulse and locate a peripheral vein. C) Ask the client to open and close the fist, ending with an open fist. D) If a vein is difficult to access, raise the arm above the level of the heart.