Which of these assessment findings would be of most concern in the first 24 hours after
surgery?
a. A.B. complains of bladder spasms.
b. A few blood clots are noted in the urine drainage bag.
c. Bright red blood suddenly appears in the Foley catheter tubing.
d. The urine is light pink in color.
c
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A client has recurrent ascites as a result of cirrhosis. Which of these procedures will the health care provider perform to allow extended control of this fluid buildup?
a. daily administration of aldactone c. albumin infusion b. peritoneal venous shunt d. paracentesis
A student is rushed to the school health clinic because of a nosebleed. The towel he is holding is saturated with blood, and when he removes it, the bleeding continues in large quantities and is deep red
What is most important to determine initially? A) Whether the classroom environment is particularly dry B) History of sinusitis symptoms or exposure C) History of trauma before the onset of bleeding D) Family history of nosebleeds
The patient has been brought to the emergency department following a motor vehicle accident
The patient is unresponsive. His driver's license states that he needs glasses to operate a motor vehicle, but no glasses were brought in with the patient. The nurse should a. Assume that the glasses were lost during the accident. b. Stand to the side of the patient's eye and observe the cornea. c. Assume that the patient was not wearing glasses while driving. d. Assume that the ambulance personnel have them.
An 18-year-old client dreams of attending a large Ivy League college after she graduates
She has received rejection letters from several colleges because of an inadequate grade point average (GPA) and low American College Testing (ACT) program scores. She is devastated and becomes depressed. She tells a nurse, "I guess I'll just have to forget about going to college. I'm just not good enough." The nurse understands this is an example of which automatic thought or schema? A) Arbitrary inference B) Overgeneralization C) Dichotomous thinking D) Personalization