A confused client is hospitalized for possible pneumonia and is admitted from the emergency department with an indwelling catheter in place. During interdisciplinary rounds the following day, what question by the nurse takes priority?
a. "Do you want daily weights on this client?"
b. "Will the client be able to return home?"
c. "Can we discontinue the in-dwelling ca-theter?"
d. "Should we get another chest x-ray to-day?"
C
An in-dwelling catheter dramatically increases the risks of urinary tract infection and urosepsis. Nursing staff should ensure that catheters are left in place only as long as they are medically needed. The nurse should inquire about removing the catheter. All other questions might be ap-propriate, but because of client safety, this question takes priority.
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Fill in the blank(s) with the appropriate word(s).
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A. Baseline rate 110-160 bpm B. Accelerations C. No late, variable, or early decelerations