The nurse notes that the patient's Foley catheter bag has been empty for 4 hours. The priority action would be to:
A) Irrigate the Foley.
B) Check for kinks in the tubing.
C) Notify the health care provider.
D) Assess the patient's intake.
Answer: B) Check for kinks in the tubing.
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Indicate whether the statement is true or false
The nurse is providing care to a homebound patient. When should the nurse complete an assessment of this patient?
a. Upon the opening of the case b. At the conclusion of care c. Ongoing d. After care is provided by the home health aide
The nurse is teaching a group of student nurses about eating correctly to correct and/or prevent hypertension. After the discussion, the students were able to indicate which of the following as effective as drug monotherapy for mild hypertension?
A) Low-sodium diet C) Low-calorie diet B) Whole foods diet D) Low-fat diet
During change of shift report, a nurse is informed that a patient has new orders for sodium polystyrene (Kayexalate). After providing the treatment later in the shift, which of the following statements would most likely document the patient's care?
1. "Telemetry shows normal sinus rhythm; Kayexalate provided; patient had two stools this shift." 2. "Kayexalate provided, monitoring patient's level of consciousness q2h." 3. "Kayexalate given per order for hypokalemia; patient resting comfortably." 4. "IV D51/2NS with 20 mEq potassium chloride (KCl) infusing without difficulty; Kayexalate provided; adequate urine output noted."