Resistance is encountered during urinary catheterization of a male patient. Which action should the nurse take?
a. Remove the catheter immediately.
b. Apply force to insert the catheter farther.
c. Ask the patient to breathe quickly through the mouth.
d. Ask the patient to take slow, deep breaths.
D
If resistance to catheter insertion is encountered, have the patient take slow, deep breaths to promote relaxation while the catheter is slowly inserted. If resistance persists the patient may have an enlarged prostate or some other obstruction of the urethra.
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Patients' lifestyles in the home may vary greatly from the nurse's own beliefs. To work successfully with the patient, the nurse must:
A) Ask for another assignment if there is a conflict of interest. B) Ask the patient to come to the agency to receive treatment. C) Convey respect for the patient's beliefs. D) Adapt the patient's home to a hospital-like environment.
A child in the pediatric intensive care unit is alert and able to eat. The child's parent asks the nurse "Why do you keep feeding my child so much? I don't want her to become fat." Which response by the nurse is the most appropriate?
A. "I understand your concerns and would be worried too." B. "She is undernourished and needs to gain some weight." C. "Very sick children need more nutrition for healing." D. "We are monitoring her intake and she won't get fat."
A patient is ready to be released from leather four-point restraints (restraints on both wrists and both ankles). Place the following actions involved in releasing a patient from restraints in their correct order
A. Maintain the patient in seclusion and reassess. B. Complete the removal of the restraints. C. Continue to observe the patient closely. D. Reassess the patient for safety. E. Release one ankle from restraint. F. Remove the patient from seclusion.
A patient takes antacids, cimetidine (Tagamet), and phenytoin (Dilantin). The health care provider prescribes a benzodiazepine for anxiety. Which drug interactions would the nurse anticipate? Select all that apply
a. Increased plasma level of benzodiazepine related to cimetidine therapy b. Increased absorption of the benzodiazepine if taken with the antacid c. Euphoria and disinhibition associated with phenytoin therapy d. Serotonin syndrome associated with cimetidine use e. Potential phenytoin toxicity