After a transurethral resection, the nurse notes that the client's urinary catheter is blocked and his bladder is overdistended. The initial nursing action should be to
a. change the catheter.
b. irrigate the catheter.
c. milk the catheter tubing.
d. notify the physician.
C
If obstruction is suspected, manual (hand) irrigation may be necessary. After prostatectomy for BPH, at least 60 ml of irrigant must be used, with some force, to dislodge and evacuate blood clots and other debris.
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Treatment planning for a patient with grandiose thinking associated with acute mania will focus on:
a. developing an optimistic outlook. b. distorted thought self-control. c. interest in the environment. d. body image.
You are admitting a patient to your unit who has just come back from surgery. The patient's husband is providing the information you need. During the discussion with the patient's husband, you discover that the patient has a living will
What applies to a living will? A) The patient is legally unable to refuse basic life support. B) The physician may disagree with the patient's desires for treatment. C) The patient may nullify the living will during the illness. D) Power-of-attorney may change while the patient is hospitalized.
The practitioner has ordered a liquid oral antibiotic for a toddler with otitis media. The prescription reads 1 1/2 tsp four times per day. What should the nurse consider in teaching the mother how to give the medicine?
a. A measuring spoon should be used, and the medication must be given every 6 hours. b. The mother is not able to handle this regimen. Long-acting intramuscular antibiotics should be administered. c. A hollow-handled medication spoon is advisable, and the medication should be equally spaced while the child is awake. d. A household teaspoon should be used and the medicine given when the child wakes up, around lunch time, at dinner time, and before bed.
To keep the older adult patient safe, the nursing assistant must observe all of the following EXCEPT:
A) before getting the patient out of bed, help them come to a full sitting position before standing up B) only feed the patients cold foods C) keep frequently used articles within reach of the patient. D) all of the above are correct