You notice that a patient with a catheter has rapidly increased urine output. You should
A)
question the patient about his/her intake.
B)
report to the doctor.
C)
report to the head nurse or immediate supervisor.
D)
continue your assignment unless the bag is almost full.
Answer:
C
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When describing a patient's responsiveness, the nurse uses the term "obtunded." What is the most accurate meaning of this term?
A) Unable to arouse with any stimulus B) Sedated with intravenous medications C) Having inborn mental retardation D) Arousable but drowsy and slow to respond
While the nurse is taking the history of a 10-year-old child,the parents admit to owning firearms. Appropriate safety measures for the nurse to suggest would be which of the following? (Select all that apply.)
1. Using a gun lock on all firearms inthe house 2. Taking the child to a shooting rangefor lessons on how to use a gun properly 3. Storing the guns and ammunition inseparate places 4. Keeping all the guns in a lockedcabinet 5. Explaining the dangers of a gun tothe child and telling her explicitly to never touch it
The nurse at the unit desk answers the telephone and is asked for permission to speak to a specific client. The nurse responds, "The client is busy in a meeting, and I don't see your name on the client's telephone list."
The nurse can best be described as: A) Breaking the client's right to confidentiality. B) Showing disrespect to the caller. C) Pursuing informed consent. D) Following orders.
An 8-year-old client is scheduled to undergo a tonsillectomy for chronic tonsillitis. The
symptoms given below are related to tonsil disorders. The nurse caring for this client should know that which symptom is specifically related to tonsillitis? A) Difficulty swallowing B) Headache C) Swelling and pain behind the ear D) Difficulty breathing unless sitting upright.