The nurse has paged a hospital patient's primary care provider because the patient's urine output over the past 12 hours is approximately 140 mL. The nurse would recognize that this patient is experiencing what health problem?
A) Enuresis
B) Polyuria
C) Dysuria
D) Oliguria
D
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Bladder training instructions are being given to a patient who has a history of urinary inconti-nence. What initial instructions should the nurse give to the patient?
a. "Wait until you feel the urge to void." b. "Don't void any more often than every 4 to 6 hours." c. "Void every 2 to 3 hours while awake." d. "Void any time you feel the urge."
In caring for a patient just admitted with a pelvic fracture, the assessment that would cause the most concern is:
1. a pain level rating of 8 on a 1 to 10 scale. 2. no urinary output for 8 hours. 3. evidence of bruising along the patient's hips and buttocks. 4. complaints of need for back care from resting in bed.
The physician prescribes propranolol for a patient with a blood pressure reading of 200/106 . An electrocardiogram taken shortly afterward shows an AV block. The nurse should immediately report this finding for which reason?
a. Lowering the blood pressure will require a least two different drugs. b. Beta blockers can intensify an AV block. c. There could be some reflex tachycardia associated with this agent. d. The drug may cause a cough, which might further disrupt the cardiac rhythm.
The family of your client, an elderly person whose physical and mental condition has deteriorated, believed that they could no longer care for the client
They thought that the client needed to be placed in a skilled nursing facility. The desired outcome is for the family to realistically appraise their situation and identify and prioritize the needs of each family member. This outcome is an example of planning for which nursing diagnosis? 1. Compromised family coping 2. Disabled family coping 3. Interrupted family processes 4. Readiness for enhanced family coping