Which activities related to urinary elimination may be delegated to a nursing assistant?
a. Catheterization
b. Positioning the patient
c. Evaluating alternatives to catheter use
d. Assessing urinary drainage
B
NAP may assist with positioning the patient, focusing lighting for the procedure, and enhancing the patient's comfort during the procedure through measures such as holding the patient's hand or keeping the patient warm. The nurse uses sterile asepsis when inserting an indwelling or straight catheter to reduce the risk for bladder infection. The nurse evaluates possible alternatives to catheter use, and assessment is the responsibility of the nurse.
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A nursing manager explains to a group of newly hired graduate nurses that maintaining situational awareness means
a. being aware of possible problems encountered in patient situations. b. remaining aware of patient status and how it can change quickly. c. the ability to recover quickly from mistakes once they do occur. d. understanding how everyone's role is related to patient outcomes.
During the morning assessment, a patient admitted with heart failure complains of feeling tired from a poor night of sleep
She tells the nurse that she has been "up and down all night because I have to urinate every couple of hours." The patient asks the nurse why she urinates so frequently during the night. The nurse responds: A) "Your frequent urination is caused by your bedtime dose of a diuretic." B) "It must be related to your excessive intake of fluid before bedtime." C) "You must have a urinary tract infection and will need an antibiotic." D) "Your heart is not working as hard while you sleep and your kidneys are filtering better."
The postprocedure teaching plan for a client receiving cryosurgery for cervical cancer would include the instruction to
a. avoid vigorous perineal hygiene. b. report any malodorous discharge immediately. c. report discharge that continues longer than 8 weeks. d. take frequent sitz baths to minimize pain.
The nurse is performing a physical assessment of a pregnant woman at 18 weeks' gestation and documents the following: vaginal bleeding, a uterus that is larger than expected for the weeks of pregnancy, anemia, excessive nausea and vomiting, and signs
of pregnancy-induced hypertension. What complication might the nurse suspect based on these symptoms? A) Ectopic pregnancy B) Hydatidiform mole C) Hyperemesis gravidarum D) Preeclampsia