A patient with a bleeding disorder has voided 250 cc of port-wine colored urine. The nurse realizes this finding is indicative of
1. renal calculi.
2. cholelithiasis.
3. ulcerative colitis.
4. hemoglobinuria.
4
Rationale: If hemoglobin is free in the urine, hemoglobinuria develops, with its characteristically port wine colored-urine. Port wine-colored urine is not associated with renal calculi, cholelithiasis, or ulcerative colitis.
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Please choose from the following statements those that describe interdependent nursing activities. Select all that apply
1. The nurse who is creating a care plan consults with the physical therapist to identify the most appropriate transfer techniques to use in assisting a newly admitted client who has mobility problems at baseline and incorporates this information into the care plan. 2. The nurse notifies the unit social worker when the mother of a toddler who just admitted to the unit requests to stay with the toddler overnight with her two other children, because she cannot identify any family or friends who might be able to care for them. 3. The nurse assesses an infant's hydration. 4. The nurse administers the type and amount of intravenous fluid that the health care provider ordered. 5. The nurse evaluates whether the goals of the care plan have been met. Correct
The nurse is caring for a client in labor. Which signs and symptoms would indicate the client is progressing into the second stage of labor? Note: Credit will be given only for all correct choices and no incorrect choices. Select all that apply
1. Bulging perineum 2. Increased bloody show 3. Spontaneous rupture of the membranes 4. Uncontrollable urge to push 5. Inability to breathe through contractions
Evidence-based practice typically involves weighing various types of evidence in an effort to determine best evidence. Most evidence hierarchies put which systematic review at the pinnacle?
A) Randomized controlled trials B) Program evaluations C) Clinical practice guidelines D) Meta-analyses of multiple clinical trials
An adult tells the nurse, "I can't take it anymore! Last year my husband had an affair and now we don't communicate. Three months ago, I found a lump in my breast. Yesterday my daughter told me she's quitting college and moving in with her boyfriend."
What is the priority nursing diagnosis? a. Fear, related to impending surgery b. Deficient knowledge, related to breast lesion c. Ineffective coping, related to perceived loss of daughter d. Impaired verbal communication, related to spousal estrangement