A 54-year-old patient is on the surgical unit after a radical abdominal hysterectomy. Which finding is most important to report to the health care provider?

a. Urine output of 125 mL in the first 8 hours after surgery
b. Decreased bowel sounds in all four abdominal quadrants
c. One-inch area of bloody drainage on the abdominal dressing
d. Complaints of abdominal pain at the incision site with coughing


ANS: A
The decreased urine output indicates possible low blood volume and further assessment is needed to assess for possible internal bleeding. Decreased bowel sounds, minor drainage on the dressing, and abdominal pain with coughing are expected after this surgery.

Nursing

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A patient with third-degree burns is being treated with high-volume intravenous fluids and has a urine output of 40 mL per hour. What does the nurse realize about this urine output?

1. It is normal for this patient. 2. It is evidence that the patient is dehydrated. 3. It is evidence that the patient is overhydrated. 4. It is indicative of pending renal failure.

Nursing

The _____________ _______________ method for using conversion factors is a modification of the

proportion method. Fill in the blank(s) with correct word

Nursing

An LPN is talking with her clinical instructor about her decision to return to school to become an RN. The clinical instructor interprets the LPNs outcome priority based on which statement?

a. "My family wanted me to go back to school." b. "I want to better my financial situation." c. "I really enjoy school." d. "I would like to advance to a teaching role someday."

Nursing

Examples of common adverse effects include all of the following except:

A. vomiting. B. persistent diarrhea. C. confusion. D. anaphylaxis.

Nursing