The client is scheduled for a prostatectomy for benign prostatic hypertrophy. On the morning of surgery, the laboratory report on the client's urine indicates the presence of red blood cells, white blood cells, and bacteria
What is the nurse's best action? A. Document the report as the only action.
B. Remove the Foley catheter.
C. Strain the client's urine.
D. Notify the physician.
D
Surgery should be cancelled until the urinary tract infection is treated.
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The nurse is caring for a client with dyspnea resulting from pulmonary edema secondary to congestive heart failure. The health care provider is notified, and the nurse receives a verbal order for Lasix 40 mg STAT
Which action by the nurse is the most appropriate? 1. Administer the medication immediately. 2. Clarify the route for administration. 3. Give the medication IV because the client is in distress and rapid effects are needed. 4. Hold the medication until the prescriber comes to the unit to clarify route and sign the order.
A client has arrived at the labor and delivery suite for a scheduled induction of labor. Which of the following nursing interventions should the nurse implement before starting the oxytocin infusion?
A) Continuous monitoring of the fetal heart rate B) Assessing for uterine contractions C) Assessing mean arterial pressure D) Documenting uterine activity
A patient tells you about her experience with prolonged therapy for her breast cancer. You comment, “That must have been a very trying time for you.” What is this an example of?
A) Reassurance B) Empathy C) Summarization D) Validation
In what way can a nurse discriminate strong research from poor research?
A) By conducting the research B) Through author dialogue C) By critiquing the study D) Through investigation