Which of the following nursing interventions should be implemented for the dying client who is incontinent of urine, with associated skin breakdown, and exhibits a decreased level of consciousness?
A) Insertion of an indwelling catheter
B) Use of absorbent pads
C) Offering a bedpan every 4 hours
D) Assisting the client to the commode every 2 hours
A
Feedback:
The client may need an indwelling or external catheter, particularly if skin breakdown is a problem. The other options would not be appropriate for the dying client.
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The client has complaints of being tired, listless, and unable to tolerate activity at usual levels. Which laboratory value should the nurse review first while assessing this complaint?
1. Blood urea nitrogen 2. Hemoglobin and hematocrit 3. Blood sugar 4. Serum potassium
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A 29-year-old female experiences shortness of breath, urticaria, and bilateral wheezing shortly after you started an IV of normal saline. How should you manage this situation?
A. Place her on her left side with her head down. B. Change the IV tubing and continue the IV. C. Leave the catheter in place and remove the solution. D. Discontinue the IV and remove the catheter.