Which intervention will be included in the plan of care for a male patient with acute kidney injury (AKI) who has a temporary vascular access catheter in the left femoral vein?
a. Start continuous pulse oximetry.
b. Restrict physical activity to bed rest.
c. Restrict the patient's oral protein intake.
d. Discontinue the urethral retention catheter.
ANS: B
The patient with a femoral vein catheter must be on bed rest to prevent trauma to the vein. Protein intake is likely to be increased when the patient is receiving dialysis. The retention catheter is likely to remain in place because accurate measurement of output will be needed. There is no indication that the patient needs continuous pulse oximetry.
You might also like to view...
An older client with hyposmia has a nursing diagnosis sensory/perceptual alteration: olfactory. Which topics would the nurse's plan of care include in the patient's education to prepare for discharge? Select all that apply
A) date and label all foods B) remove kitchen waste weekly C) place natural gas detectors near gas heater or stove D) use colognes as bath substitute E) establish a schedule for house cleaning
The nurse is caring for an older client. Which assessment finding best indicates that the client is practicing heritage consistency?
1. The client attends secular religious services. 2. The client is very well versed in many cultures. 3. The client plans to visit their childhood neighborhood. 4. The client occasionally contacts extended family members.
The nurse notes this distribution of lesions on a patient's skin. Based on this finding, the nurse should perform additional assessment looking for indications of which problem?
1. vitamin B deficiency 2. increased intravenous pressure 3. bleeding disorders 4. psoriasis
The MyPlate food guidance system recommends which of the following for children?
a. Engage in at least 60 minutes of physical activity on every day of the week. b. Offer 100% fruit juices instead of soda. c. Top cereal with sugar to add flavor. d. Mix vegetables together.