When the balloon on an indwelling urinary catheter is inflated and the patient expresses discomfort, it is essential for the nurse to take which action?
a. Remove the catheter.
b. Continue to blow up the balloon because discomfort is expected.
c. Aspirate the fluid from the balloon and advance the catheter.
d. Pull back on the catheter slightly to determine tension.
C
If resistance to inflation is noted, or if the patient complains of pain, the balloon may not be entirely within the bladder. Stop inflation, aspirate any fluid injected into the balloon, and advance the catheter a little farther before attempting again to inflate.
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The nurse is caring for a postoperative orthopedic patient who has two Hemovac drains in place. Which interventions should the nurse perform? (Select all that apply.)
a. Measure the amount of drainage in the device prior to emptying. b. Label each drain and record them separately. c. Recompress the device after emptying. d. Secure the device to the patient's gown above the level of the wound. e. Check for kinks in the tubing.
A patient tells the nurse that she has a type of health insurance where a certain amount of money is paid to the doctor for a service regardless of what needs to be done. The nurse realizes the patient is describing a(n):
1. Health maintenance organization. 2. Independent practice association. 3. Preferred provider organization. 4. Exclusive provider organization.
The nurse notes that the patient's skin is scaly during a nutritional head-to-toe assessment. Which is the most likely reason for this occurrence?
1) Vitamin C deficiency 2) Protein deficiency 3) Zinc deficiency 4) Thiamin deficiency
If a statistical test yields a p = .004, this means that:
a. The probability is 4 in 100 that the research hypothesis is true b. The probability is 4 in 1,000 that the research hypothesis is true c. The probability is 4 in 100 that the null hypothesis is true d. The probability is 4 in 1,000 that the null hypothesis is true