A patient is three hours post cesarean delivery. The nurse notes the indwelling urinary catheter bag has 30 cc of urine and it has been two hours since it was last checked. What is the appropriate nursing intervention?
A) Check the indwelling urinary catheter bag
B) Assess the fundus
C) Ask the patient if she needs to void
D) Increase the IV fluids
Ans: A
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After delegating to an unlicensed assistive personnel (UAP) the task of completing a bladder scan examination for a client, the nurse evaluates the UAP's performance
Which action by the UAP indicates the nurse must provide additional instructions when delegating this task? a. Selecting the female icon for all female clients and male icon for all male clients b. Telling the client, "This test measures the amount of urine in your bladder." c. Applying ultrasound gel to the scanning head and removing it when finished d. Taking at least two readings using the aiming icon to place the scanning head
Risk of developing right and/or left bundle branch block is highest following
A) posterior infarction. B) lateral infarction. C) anterior infarction. D) right ventricular infarction.
When educating a client on the use of an adjuvant medication, which statement best demon-strates the nurse's understanding of this therapy?
a. "These medications are used instead of opioids to decrease the likelihood of ad-diction." b. "Adjuvant medications are prescribed be-cause they seldom cause any significant side effects." c. "These types of medications are used to eliminate the side effects of opioid medi-cations." d. "These drugs are used in combination with analgesics to increase the effect of the an-algesics."
The home care nurse is assessing a client's home environment. Which of the following would be a safety hazard for the client with difficulty in mobility?
a. Wall-to-wall carpet in the bedroom c. Scatter rugs on the kitchen floor b. Curio cabinet filled with mementos d. Night-lights in the hall and bathroom