While caring for a patient with an indwelling catheter, the nurse will include in the daily care the interventions of: (Select all that apply.)
a. observing tube placement and level of urine in collection bag.
b. keeping the drainage bag below the level of the bed.
c. avoiding patient ambulating with the ca-theter collection bag.
d. cutting off the balloon arm when discon-tinuing the catheter.
e. cleaning the meatus and catheter with soap and water.
A, B, E
The balloon arm should not be cut off, but emptied by the use of a syringe. Patients with indwel-ling catheters can be ambulated as long as the bag is below the insertion site of the catheter.
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The patient is at the center of the Nightingale model and incorporates
A. A holistic view of the person. B. Psychological, intellectual, and spiritual components. C. A unique individual filled with chattering hopes and advice. D. A & B E. All of the above.
A pregnant adolescent patient states that it is important not to have a baby who weighs too much, and so she is limiting calories. Her weight has decreased from 110 pounds to 106 pounds. Which nursing diagnosis is the priority for this patient?
1. Knowledge Deficit related to fetal development 2. Imbalanced Nutrition: Less than Body requirements related to poor eating habits 3. Disturbed Body Image related to situational crisis 4. Anxiety related to unanticipated pregnancy
The nurse is writing a process recording of an interaction with a client. The nurse records the exchange that follows. Client: "My brother is such a mean person
He never has anything nice to say about me, and is always complaining that I can't do anything right. He says I'm a loser." Nurse: "I know what you mean. My sister is always trying to tell me how to run my life, and it really gets me upset. Sometimes I could just scream." Analysis of the preceding exchange indicates that the nurse's part in the interaction is: a. an effective use of active listening skills to build the relationship b. an offer of self as a positive role model for interactions c. incorporating reflection as a therapeutic communication technique d. an inappropriate use of self-disclosure
Many people in Australia are linguistically diverse, meaning they may:
a. speak more than one language. b. not understand English well or at all. c. speak English with an accent. d. not have been born in Australia.