The nurse performs intermittent catheterization on a client with residual urine. Which outcome does the nurse expect as an indication of effective therapy?
1. A dull aching back
2. 40 ml of residual urine
3. Cloudy malodorous urine
4. Minor urinary incontinence
2
2. The nurse expects less than 100 ml of residual urine for the client receiving inter-mittent catheterization, indicating insignificant urine retention.
1 and 3. A dull aching back and cloudy malodorous urine are consistent with clinical indicators for a urinary tract infection.
4. Minor urinary incontinence is an indication of weakened pelvic floor muscles or neurogenic bladder disorders.
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The nurse identifies the following assessment findings on a client with pre-eclampsia: blood pressure 158/100; urinary output 50 mL/hour; lungs clear to auscultation; urine protein 11 on dipstick; and edema of the hands, ankles, and feet
On the next hourly assessment, which of the following new assessment findings would be an indication of worsening of the pre-eclampsia? 1. Blood pressure 158/104 2. Urinary output 20 mL/hour 3. Reflexes 21 4. Platelet count 150,000
The challenge of coping with changes in family, careers, and relationships belongs to
1. adolescents. 2. young adults. 3. older adults. 4. middle-aged adults.
A school-age child is newly diagnosed with type 1 diabetes mellitus. Which behavior indicates to the nurse that the child might be interested in learning how to self-administer insulin injections?
A) The child cries and calls for the mother with every insulin injection. B) The child watches the nurse fill and asks to hold the insulin syringe. C) The child asks how many "shots" are needed before the illness is "all better.". D) The child tells the nurse that a parent will give the injection so the parent needs the teaching.
A woman is diagnosed with a cystocele. She states she is relieved the condition is only the result of weakening of the structures that support her uterus. What response by the nurse is indicated?
1. "I am glad you have been able to receive some background information about your condition." 2. "A cystocele is actually the result of the rectum pushing forward into the vagina." 3. "The cystocele has occurred because the bladder is pressing downward on the vagina." 4. "This condition is actually caused by a weakening of the uterus itself."