The nurse reviews an order for a continuous bladder irrigation after prostate surgery. Which action should the nurse take before starting the bladder irrigation?
a. Label the irrigation solution with the words for genitourinary (GU) irrigation only.
b. Change the irrigation tubing at least once every 12 hours.
c. Infuse the irrigation solution at 100 mL/hr for clear urine.
d. Ensure that the patient has a triple-lumen urinary catheter.
D
The nurse first confirms that the patient has a triple-lumen urinary catheter before beginning the irrigation. This type of catheter is usually placed while the patient is in the operating room. The nurse labels the irrigation solution properly according to agency policy for patient safety and to prevent inadvertent intravenous infusion. The nurse changes the irrigation tubing according to agency policy; every 12 hours is excessive and is likely to contribute to an infection. The nurse titrates the irrigation solution to maintain clear urine; the rate usually exceeds 100 mL/hr.
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An emergency department nurse cares for a client who experienced a spinal cord injury 1 hour ago. Which prescribed medication should the nurse prepare to administer?
a. Intrathecal baclofen (Lioresal) b. Methylprednisolone (Medrol) c. Atropine sulfate d. Epinephrine (Adrenalin)
A female patient tells the charge nurse that she does not want a male nurse caring for her. Which intervention by the charge nurse is best?
a. Explain that hospital policy does not allow nursing assignments based on the gender of the nurse. b. Explore with the patient her beliefs and determine which might have caused her to make this statement. c. Assure the patient that each nurse is capable of providing professional nursing care, regardless of gender. d. Comply with the patient's request and assign a female nurse to care for the patient.
To promote bonding and attachment immediately after delivery, the most important nursing intervention is to:
a. Allow the mother quiet time with her infant. b. Assist the mother in assuming an en face position with her newborn. c. Teach the mother about the concepts of bonding and attachment. d. Assist the mother in feeding her baby.
The Bush administration called for the adoption of the electronic health record (EHR) by 2014 as a means to help transform U.S. health care. Who owns the individual client record when an EHR is used?
1. The client 2. Ownership is unclear 3. The institution at which the record is created 4. The health care providers who enter the data