The nurse is caring for a 78 year old male who had a TURP 36 hours prior. Which of the following will be most essential for the nurse to monitor?
a. heart rate, respirations, and amount eaten at meals
b. the CBI flow to run clear, amounts and color of urine output
c. the output from the indwelling foley catheter
d. the amount of urine the patient voids into the urinal
B
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The nurse is admitting a client of the Muslim faith during the holy month of Ramadan. The client tells the nurse that he must fast during this time. Which response by the nurse is the most appropriate?
1. "What can we do to accommodate your needs during your stay here?" 2. "I will let your healthcare provider know that you need to be discharged." 3. "Fasting is harmful to your body." 4. "You must have food during times of illness."
The nurse uses topical gentamicin sulfate (Garamycin) on a client's burn injury. Which laboratory value does the nurse monitor?
a. Creatinine b. Red blood cells c. Sodium d. Magnesium level
A client with a sleep disorder experiences cataplexy. Which is a feature of this condition?
A) Irresistible urge to sleep, regardless of the type of activity in which the client is engaged B) Sudden loss of motor tone that may cause the person to fall asleep; usually experienced during a period of strong emotion C) Nightmare or vivid hallucinations experienced during sleep time D) Skeletal paralysis that occurs during the transition from wakefulness to sleep
A nurse is caring for a child who is a victim of family violence. During assessment, the nurse realizes that the father of the child was himself a victim of child abuse. Which factor is the primary influence on a person's parenting style?
A) Families in the neighborhood B) Lectures on parenting C) Person's own upbringing D) Books on parenting