The nurse inserts an indwelling urinary catheter into an adult client. Which assessment does the nurse expect related to the client and the indwelling catheter?
1. The client complains of burning.
2. The urine output exceeds 30 ml/hr.
3. The urine contains tiny white casts.
4. The urine is yellow and blood tinged.
2
2. The nurse expects the client to produce more than 30 ml/hr of urine as an indication of adequate urine output.
1. Client complaints of burning are an unexpected finding.
3 and 4. Normal urine is clear and yellow without blood, protein, sediment, or glu-cose.
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For a nurse studying bioethics, which of the following statements would indicate that learning has occurred regarding autonomy?
1. "All clients should be given their due." 2. "Part of our profession is doing good things for others." 3. "We must always be honest with clients." 4. "After I provide information, I will respect my client's right to make a decision."
A patient with chronic lymphocytic leukemia (CLL) will imminently begin a course of treatment with rituximab. In order to minimize the risk of adverse effects, what strategy for administration will be adopted?
A) Admitting the patient to the intensive care unit in anticipation of the initial bolus of the drug B) Administering diphenhydramine 30 minutes prior to the initial dose of rituximab C) Administering the drug by slow infusion to two peripheral IV sites simultaneously D) Administering the initial doses by slow infusion while observing for adverse reactions
A mother tells the nurse she is worried that her 20-year-old daughter lacks the understanding regarding the need for follow-up care after her discharge. Which of the following behaviors suggests that the patient needs further discharge teaching?
Select all that apply. The patient: a. States she will be on time for her scheduled appointment b. Asks the nurse many questions about her discharge care c. States she does not understand much English d. Watches television while the nurse is speaking to her e. Plans to get medications from the pharmacy on her way home
A client states, "I think my waters broke! I felt this gush of fluid between my legs." The nurse tests the fluid with Nitrazine paper and confirms membrane rupture if the paper turns:
A) Yellow B) Olive green C) Pink D) Blue