The nurse is preparing to assess an obese patient who reports subjective symptoms and urinary patterns associated with BPH. Which techniques foes the nurse use to perform the physical assessment?
A.) Instruct the patient to undress from the waist down, then inspect and palpate the bladder
B.) Have the patient drink several large glass of water and percuss the bladder
C.) Apply gentle pressure to the bladder to elicit urgency; then instruct the patient to void
D.) Instruct the patient to void and then use the bedside ultrasound bladder scanner
Answer: D.) Instruct the patient to void and then use the bedside ultrasound bladder scanner
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A nurse is caring for a 45-kg (99-lb) child undergoing a water deprivation test. At a routine assessment during the test, the nurse notes the child's weight at 42 kg. Which action by the nurse takes priority?
A. Allows the child to have clear liquids, like broth B. Documents the findings and continues to monitor C. Increases the rate of the IV fluid infusion by 5% D. Notifies the health-care provider immediately
A nurse reads a health care provider's order as "Fentanyl 25 mg IV q 3-4 hrs. PRN for pain" and is concerned because the dosage of this medication should read "mcg." Which of these actions should the nurse take?
a. Call the pharmacy and have the pharmacist clarify the order. b. Contact the health care provider and clarify the order. c. Give the dose as ordered by the health care provider. d. Have another nurse review the order and give the dose in mcg if in agreement.
A client tells the nurse that sleep last night was interrupted because of a sick child. In order to determine the client's mental health status, the nurse should ask the client whether:
1. interrupted sleep is a normal pattern. 2. the client owns a home. 3. the client lives with anyone. 4. the client is financially sound.
What is the best method for preventing health care-associated infections?
a. Perform good hand washing before and after approaching every patient. b. Prevention is almost impossible due to the high infection rates in hospitals. c. Isolate every patient having surgery. d. Use contact isolation for every patient at risk.