The nurse is caring for a patient who returns to the unit after undergoing a transurethral resection of the prostate (TURP). The nurse observes a few small clots and pieces of tissue returning in the indwelling catheter bag
What should the nurse do next?
a. Document the finding.
b. Notify the surgeon immediately.
c. Adjust the bladder irrigation flow rate.
d. Apply traction to the catheter.
A
Presence of blood clots tissue in the urinary collection is anticipated and normal, so the nurse should document the finding and continue to monitor the patient. These findings do not warrant immediate notification of the surgeon, adjustment of the irrigation rate, or application of traction to the catheter.
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A nurse educator is teaching a group of nursing students about the function of the state board of nursing. Which information will the educator include in the teaching session? Select all that apply
A) Creating the NCLEX-RN examination B) Defining professional standards C) Investigating violations of the nurse practice act D) Suspending or revoking licenses E) Finding drug treatment centers for impaired nurses
A client with otitis media asks how an infection can occur that deep into the ear. The best response by the nurse is:
1. "The eustachian tube is connected to the nasopharynx." 2. "The eardrum only protects the inner ear from infection." 3. "The infection begins because you put your fingers in your ear." 4. "Swimming introduces bacteria into the middle ear."
The nurse is assessing a four-year old child with suspected fetal alcohol syndrome. What assessment findings will the nurse anticipate? Select all that apply.
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1. Age 68 2. Body mass index (BMI) 32 3. Pregnant seven times 4. History of diabetes 5. Takes hormone replacement therapy