The nurse inserts an indwelling urinary catheter into an adult patient who has been unable to void. Which assessment finding would the nurse expect?
a. The patient complains of burning.
b. The urine output exceeds 30 mL/hr.
c. The patient develops a fever.
d. The urine is yellow and blood tinged.
B
The nurse expects the catheter to drain more than 30 mL/hr of urine as an indication of adequate urine output because it has been a while since the patient voided. A patient complaint of burning or the development of a fever would be unexpected findings and warrant further assessment. Blood-tinged urine would also be an unexpected finding and warrant further assessment.
You might also like to view...
What is the time limit for the legal administration of medications?
a. 30 minutes b. 1 hour c. 90 minutes d. 2 hours
The most common cause of pathologic hyperbilirubinemia is
a. Hepatic disease b. Hemolytic disorders in the newborn c. Postmaturity d. Congenital heart defect
A nurse is interpreting the results of a tuberculin skin test (TST) on an adolescent who is HIV positive. Which induration size indicates a positive result for this child 48–72 hours after the test?
a. 5 mm b. 10 mm c. 15 mm d. 20 mm
A teaching plan for a patient with hyperlipidemia would instruct the patient to avoid which food(s)? (Select all that apply.)
a. Hard cheeses b. Egg whites c. Unsaturated vegetable oils d. Green vegetables e. Liver