Two hours after a closed percutaneous kidney biopsy, the client reports a dramatic increase in pain. What is the nurse's best first action?
a. Reposition the client on the operative side.
b. Administer the prescribed opioid analges-ic.
c. Assess the pulse rate and blood pressure.
d. Check the Foley catheter for kinks.
C
An increase in the intensity of pain after a percutaneous kidney biopsy is a symptom of internal hemorrhage. A change in vital signs can indicate that hemorrhage is occurring. Before other ac-tions, the nurse must assess the client's hemodynamic status.
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When the patient stares at the black dot on an Amsler grid, what should the nurse ask him to report?
a. Any color visible on the grid b. Fading of the edges of the grid c. Any distortion of the grid d. Movement of the black dot
Which of the following statements best demonstrates a combination of leadership and management skills when teaching a client with uncontrolled diabetes?
A) "While you have agreed to check your blood sugar every morning, it is also important to recognize the overall effect on your body system." B) "Once you have the lancet in the device, hold it against the finger and press the button." You are doing a good job. C) "Because Thanksgiving is next week, evaluate the amount of simple sugars in the desserts and eat those in moderation." D) "I will notify your physician of your blood glucose reading and request a referral for a dietician to improve your knowledge of calorie controlled diets."
Corinne, a 16-year-old woman, arrives at the health clinic for contraceptive counseling. Corinne is 5'7" with a body mass index of 18 . The clinic nurse is concerned that Corinne may have an eating disorder
In presenting contraceptive options, the clinic nurse suggests that condoms or a transdermal contraceptive patch would be her best options because: Select all answers that apply: A) Of the potential for weight gain with an oral contraceptive B) Of the potential for decreased effectiveness of an oral contraceptive if Corinne has any nausea or vomiting C) The transdermal contraceptive patch would require once a week application instead of daily dosage D) Condoms would increase protection against human immunodeficiency virus (HIV) and sexually transmitted infections
The nurse is going to calculate the normal cardiac output for an adult patient. Which of the following will be needed to make this calculation?
1. age 2. height 3. body surface area 4. weight