The surgeon orders hourly urine output measurement for a patient after abdominal surgery. The patient's urine output has been greater than 60 mL/hour for the past 2 hours. Suddenly, the patient's urine output drops to almost nothing
What should the nurse do first?
a. Irrigate the catheter with 30 mL of sterile solution.
b. Replace the patient's indwelling urinary catheter.
c. Infuse 500 mL of normal saline solution IV over 1 hour.
d. Notify the surgeon immediately.
A
If the patient's urinary output suddenly ceases, the nurse should irrigate the urinary catheter to assess whether the catheter is blocked. If no blockage is detected, the nurse should notify the surgeon. The surgeon may request that the catheter be changed if irrigation does not help or if the tubing is not kinked. However, the nurse should not change a catheter in the immediate postoperative period without consulting with the surgeon. The surgeon may prescribe an IV fluid bolus if the patient is suspected to have a deficient fluid volume.
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The purpose of initiating contractions in a CST is to
a. Determine the degree of fetal activity. b. Apply a stressful stimulus to the fetus. c. Identifying fetal acceleration patterns. d. Increase placental blood flow.
Because the evaluation of the nursing care plan reflects lack of progress toward the goal, the nurse will confer with the patient to plan a:
a. more accessible goal. b. revision of interventions. c. different nursing diagnosis. d. new evaluation.
Communication techniques used during the exam should include all of the following except:
A) Using a calm, caring, and professional manner. B) Teaching information, as appropriate, in response to the patient's health needs. C) Being humorous about assessment findings. D) Keeping the patient informed about assessment findings.
The rationale for use of short, frequent study periods that focus on understanding the material is
a. to memorize facts. b. to lay down a neural trace. c. to prevent old knowledge from interfering with recall of new knowledge. d. to motivate learning by developing a positive attitude toward the subject matter.