A nurse is caring for a patient 2 hours after a transurethral resection and immediately reports to the charge nurse the presence of large clots in the catheter and drainage bag. What should the nurse anticipate the physician will order?
a. Instill ice water into the bladder.
b. Decrease the amount of fluid in the bal-loon of the indwelling catheter.
c. Apply traction to the catheter by taping it to the patient's thigh.
d. Prescribe a potent vasoconstrictor to re-duce hemorrhage.
C
Applying traction to the catheter may reduce the bleeding. An increase of fluid in the catheter balloon is also helpful, but ice water will have no better effect than the continuous bladder irriga-tion that is already in place.
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A patient is experiencing episodes of chest pain. He smokes one pack of cigarettes per day and has done so for many years
When teaching him about the effect of smoking on the cardiovascular system, the nurse will teach the patient about the effects of nicotine, including which of the following? A) It increases catecholamines to increase heart rate. B) It diminishes the blood's ability to clot. C) It increases myocardial contractility of the heart. D) It increases high-density lipoproteins.
For which client is acetaminophen (Tylenol) contraindicated?
A. A 2-year-old with a high fever B. A 65-year-old with osteoarthritis C. A 19-year-old with a bladder infection D. A 55-year old who drinks alcohol
The OBRA regulations
A) provide recognition to nursing assistants through registration. B) define the scope of RN practice in acute care facilities. C) determine the members of the interdisciplinary team. D) regulate hospital structure and function.
A client in acute renal failure is showing possible fluid retention as evidenced by:
a. thready bradycardic radial pulse. b. weight increase of three pounds in one day. c. urinary output of 960 milliliters in past 24 hours. d. systolic blood pressure increase from 110 to 130 after activity.