Which action is most important after giving a patient bisacodyl (Dulcolax)?
a. Comparing daily urine output with fluid intake.
b. Assessing pulse rate and regularity every 4 hours.
c. Ensuring that the patient complies with a low-sodium diet.
d. Testing the patient's blood glucose level at least every shift.
ANS: B
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The nurse is inserting an indwelling urinary catheter for a female patient. Upon insertion of the catheter the nurse accidently touches the patient's leg and bed sheet with the tip of the catheter
What is the most appropriate action by the nurse? a. Cleanse the tip of the catheter with povidone iodine before proceeding with the insertion. b. Cleanse the tip of the catheter with alcohol before proceeding with the insertion. c. Obtain a new catheter and reinsert it using sterile technique. d. Continue with the procedure as the nurse only lightly touched the surfaces.
At midpoint during pregnancy, you review beginning signs of labor with a patient. One of the beginning signs of labor you would review is
A) a sudden gush of clear fluid from the vagina. B) excessive fatigue and headache. C) sharp, right-sided abdominal pain. D) an increased pulse rate and upper abdominal pain.
The nurse is caring for a patient who has multiple sclerosis. The patient is experiencing an acute attack. Which drug does the nurse anticipate the provider will order?
a. Adrenocorticotropic hormone (ACTH) b. Cyclophosphamide (Cytoxan) c. Glatiramer acetate (Copaxone) d. Interferon-B (IFN-B)
A multiparous client at term is in active labor with intact membranes. A Leopold maneuver indicates the fetus is in a transverse lie with a shoulder presentation. What healthcare provider order is most important?
1. Artificially rupture membranes. 2. Apply internal fetal scalp electrode. 3. Alert the surgical team of urgent cesarean. 4. Monitor maternal blood pressure every 15 minutes.