A nurse notes that the urethral catheter of a client who had prostate cancer surgery is draining dark bloody urine with clots, but the tubing is not draining freely. Which action should the nurse take FIRST?
a. Call the health care provider immediately.
b. Increase the tension on the catheter by retaping.
c. Irrigate the catheter with 150 cc of sterile normal saline.
d. Milk the tubing.
D
Monitor the catheter patency for drainage color, amount, and presence of clots. If the tubing is not draining freely, reposition or milk it. Call the physician if these measures are ineffective.
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A client with cardiac arrhythmia is prescribed ibutilide IV. The client weighs 63 kg. The nurse would expect to administer the drug over which time frame?
A) 1 minute B) 5 minutes C) 10 minutes D) 30 minutes
The patient has a permanent pacemaker inserted. The provider has set the pacemaker to the demand mode at a rate of 60 beats per minute. The nurse realizes that:
a. the pacemaker will pace only if the patient's intrinsic heart rate is less than 60 beats per minute. b. the demand mode often competes with the patient's own rhythm. c. the demand mode places the patient at risk for the R-on-T phenomenon. d. the fixed rate mode is safer and is the mode of choice.
In her meta-analysis of 18 quantitative studies of caring actions, Swanson demonstrated that the top caring behaviors of the nurse valued by patients included all the following EXCEPT
A. Helps the patient to feel confident that adequate care was provided. B. Knows how to give shots and manage equipment. C. Gets to know the patient as a person. D. Treats the patient with respect. E. Allows the open expression of feelings.
A patient says, "When I lost weight, everyone was so nice to me. Now that I've regained the weight, people don't want anything to do with me. They think I'm just a fat pig.". The nurse's initial response should be:
a. "It sounds as if your interpersonal relationships improved when you lost weight and now that you have regained the weight, you feel people don't want to be with you.". b. "Yes, there is a stigma about obesity. People are judged harshly for their weight.". c. "So, if you lose all the weight again do you think your relationships will improve?" d. "Do you really believe that your friends think that you are a ‘fat pig'?"