An older patient recovering from total hip replacement surgery 8 hours ago has not been able to void spontaneously. Which actions should the nurse take to assist this patient? Select all that apply.
A. Palpate the bladder for distention.
B. Turn onto the left side.
C. Insert an indwelling urinary catheter.
D. Increase fluids.
E. Complete a bladder scan at the bedside.
Answer: E
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The nurse is explaining to a student that several physiological factors cause a pregnant woman to be prone to venous thrombosis and embolic phenomena. What factors are included? (Select all that apply.)
A. Dehydration B. Increased blood factors C. Sedentary lifestyle D. Venous stasis E. Volume overload
A patient with bipolar disorder was hospitalized 7 days earlier and has been taking lithium 600 mg three times daily. Staff members observe increased agitation, pressured speech, poor personal hygiene, hyperactivity, and bizarre clothing
What is the nurse's best intervention? a. Educate the patient about the proper ways to perform personal hygiene and coordinate clothing. b. Continue to monitor and document the patient's speech patterns and motor activity. c. Ask the health care provider to prescribe an increased dose and frequency of lithium. d. Consider the need to check the lithium level. The patient may not be swallowing medications.
A patient is demonstrating signs of anaphylactic shock. What should the nurse do first to assist this patient?
A. Provide calm reassurance. B. Place the patient on a cardiac monitor. C. Maintain an airway. D. Administer subcutaneous epinephrine.
Ordered: Acyclovir 500 mg po q8h. On hand: Acyclovir 
oral suspension.The amount to administer is ________.
Fill in the blank(s) with the appropriate word(s).