An intravenous pyelogram confirms the presence of a 4-mm renal calculus in the proximal left ureter of a newly admitted patient. Physician orders include meperidine (Demerol) 100 mg IM q4h PRN, strain all urine, and encourage fluids to 4000 mL/day
What should be the nurse's highest priority when planning care for this patient?
a.
Pain related to irritation of a stone
b.
Anxiety related to unclear outcome of condition
c.
Ineffective health maintenance related to lack of knowledge about prevention of stones
d.
Risk for injury related to disorientation
ANS: A
Nursing diagnoses directed at pain control are of primary importance at the early stages of care. Opioid medications manage the pain well.
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While applying a warm wet soak to the client's left leg, the unlicensed assistive personnel (UAP) notes a small burn on the inside of the calf. The UAP informs the RN. Which response by the nurse is the most appropriate?
1. "Please notify the health care provider." 2. "Describe the burn in detail, please." 3. "I'll go take a look at it." 4. "Make sure you document it and complete an incident form."
An important part of fetal surveillance is assessment and documentation of the fetal heart rate during the first stage of labor. In the low-risk patient assessments for variability and periodic changes if using the fetal monitor should be done
a. Every 15-30 minutes b. Every 5-15 minutes c. Every 30-60 minutes d. Only before and after ambulation
An NP recently began employment in an emergency department. What would the primary role of the NP be in this setting?
a. Triage clients b. Manage nonemergent client problems c. Assess medically uninsured clients d. Provide health education about preventive health care
Population-based preventive programs launched in the 1970s are responsible for increased:
a. Use of tobacco b. Use of automobile safety restraints c. Incidence of hypertension d. Incidence of obesity