The nurse is caring for a pt after a nephrectomy. the nurse notes the urine flow was 50 mL/hr at the beginning of the shift, but several ours later has dropped to 30 mL/ what would the nurse do first?
a. notify the HCP for an order for an IV fluid bolus
b. document the finding and continue to monitor for downward trend
c. check the drainage system for kicks or obstructions to flow
d. obtain the pt's weight and compare it to baseline
Answer: c. check the drainage system for kicks or obstructions to flow
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The nurse is assessing the stool consistency of a client with an ascending colostomy. Which of the following would the nurse expect to find?
A) Liquid B) Semiliquid C) Soft D) Formed
What would be a good assignment for an experienced nursing assistant?
a. Help teach patients newly diagnosed with diabetes to give themselves injections. b. Report on the quality and quantity of urine on a continuous bladder irrigation. c. Obtain a clean-catch urine specimen from a patient. d. Chart a diet for a patient with an eating disorder.
What action by the nurse is most important to prevent respiratory depression in a newly born infant?
A. Bathe the infant in warm water before giving to the mother. B. Dress the infant in warm clothing and place in a warmer. C. Dry the infant and place on the mother's bare chest. D. Turn the delivery room temperature up to 85 °F (29.4 °C).
If a nurse is working in a department with several less-experienced nurses, which attribute should this nurse possess if the leadership is to be perceived as effective?
1. Accountability 2. Authority 3. Efficiency 4. Vision