A 70-year-old male arrives in the emergency department and says, "I haven't urinated in 24 hours. I feel like I have to go, but I can't." What care should the nurse anticipate providing first?
a. STAT administration of IV fluids
b. Emergency preparation for a cystoscopy
c. STAT insertion of an indwelling catheter
d. Emergency preparation for an intravenous pyelogram (IVP)
ANS: C
First, the patient must be assisted to empty his bladder to avoid rupture or other complications. A. IV fluids will further add to his need to urinate. B. D. Preparation for tests would wait until he is safe from immediate harm.
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A patient experiencing multisystem fluid volume deficit has tachycardia and decreased urine output. The nurse realizes these findings are most likely a direct result of which factor?
1. The body's natural compensatory mechanisms 2. Pharmacologic effects of a diuretic 3. Effects of rapidly infused intravenous fluids 4. Cardiac failure
Electronic health records (EHRs) are being instituted at Pleasant Valley Hospital. Some of the staff on Unit 4 complain to the manager that acquiring the technologic skills required is too time consuming
They question its value in patient care. The manager responds that: a. The use of technology is inevitable in our technologically oriented society. b. The hospital is no longer able to find the space to accommodate paper record keeping. c. The initiative is being driven by decision makers higher up in the hierarchy and there is no choice. d. EHRs will increase effectiveness of care by enhancing coordination and improving patient outcomes.
According to the National Council of State Boards of Nursing, which of the following are among the "rights" of delegation? (Select all that apply. )
1. Supervision 2. Evaluation 3. Client 4. Time 5. Task
List the six components of the chain of infection and describe how they contribute to the development of disease.
What will be an ideal response?