The nurse is caring for a patient with continuous bladder irrigation after a transurethral resection of the prostate (TURP). Which assessment finding should take priority?
a. Patient report of bladder spasms
b. Pink-tinged urine
c. Leakage of small amounts of urine around the catheter
d. 10-mL urine output in an hour
ANS: D
10 mL in an hour is not normal and signifies either a kidney problem or, more likely, an obstructed catheter. A, B, and C are all common after TURP and are easily treated.
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A 17-year-old boy has been brought to the emergency department by his mother who is distraught by the fact that she caught him and his friend "guzzling cough syrup." What assessment finding is suggestive of an overdose of dextromethorphan?
A) Hallucinations B) Dysrhythmias C) Kussmaul's respirations D) Profound diaphoresis
The physician of a patient in labor decides that an emergency cesarean birth is required to safely deliver the fetus
When preparing the operating room suite for this procedure, which medications should the nurse ensure are available for possible use? (Select all that apply.) A) Diazepam B) Ephedrine C) Acetaminophen D) Atropine sulfate E) Lactated Ringer's solution
A good nursing decision maker is one who:
a. Uses various models to guide the process based on the circumstances of the situation. b. Adopts one model and uses it to guide all decision making. c. Decides not to use any models because they are all useless. d. Develops a new model each time a decision has to be made.
The most appropriate food for the patient taking loop diuretics is
1. meat. 2. bananas. 3. cheese. 4. Yogurt.