A patient has a catheter, which is draining urine into a plastic container bag. To measure output, you should
A)
open the drain and run the urine into a graduate.
B)
snap off the tubing and pour out the urine.
C)
read the amount on the bag calibration.
D)
remove the catheter and drain the urine.
Answer:
A
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A patient comes to the emergency department with an acute myocardial infarction. An electrocardiogram shows a heart rate of 116 beats/minute with frequent premature ventricular contractions
The patient experiences ventricular tachycardia and becomes unresponsive. After resuscitation, the patient moves to the intensive care unit. What is the priority nursing diagnosis for this patient? A) Impaired physical mobility related to complete bed rest B) Deficient knowledge related to emergency interventions C) Social isolation related to restricted family visits D) Anxiety related to the threat of death
Therapeutic interventions are effective in the prevention of mental and emotional disorders and assisting the client to cope. Which of the following interventions assist in providing for a positive personal identity? (Select all that apply.)
a. Continue to define identity in terms of role in nuclear family. b. Develop career path and goals. c. Recognize how emotions influence achievement of goals and relationships. d. Maintain personal distance in relationships.
Which of the following approaches is correct technique when wound irrigation is performed?
a. Placing the patient in supine position b. Placing the syringe directly into the wound c. Using sterile technique for a chronic wound d. Selecting a soft catheter for deep wounds with small openings
A female patient with multiple medical problems experiences incontinence, regardless of the position or situation. For which type of incontinence should the nurse plan care?
A. Total B. Stress C. Urge D. Overflow