A nurse performing continuous bladder irrigation on a patient notes that hourly drainage is less than amount of irrigation being given. Which of the following interventions would be appropriate in this situation? Select all that apply
A) Palpate for bladder distention.
B) Roll the patient onto his or her back
C) Check to make sure that the tubing is not kinked.
D) If return flow remains decreased, notify the physician.
E) Lower the bag 3 to 6 inches and recheck the patient.
F) Remove the catheter in place.
A, C, D
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A nurse is preparing a patient's body after death and discovers that the patient's dentures were not in his mouth before death. What action should the nurse implement?
a. Insert them gently into the mouth. b. Give them to the family. c. Throw them away. d. Send them to waste management to be disposed of properly.
The nurse teaches a client scheduled for semen examination that in order to provide an adequate sample, the client should
a. abstain from ejaculating 2 to 5 days before the test. b. drink plenty of liquids for 24 hours before the test. c. get plenty of sleep the night before the test. d. increase intake of red meat 3 days before the test.
A telemetry unit is in need of a new monitoring system. A working group has been assigned to evaluate monitors that will be trialled on the unit. After narrowing the choices to three, the monitors are each trialled for a one-week period
The nursing staff is asked to vote on which monitor they feel is most appropriate for their unit. The monitor with the greatest number of votes will be the one chosen. This is an example of __________. a. transparency b. participative democracy c. authoritative decision-making d. democratic decision-making
Which symptom is commonly assessed by the nurse when a patient has left ventricular heart failure?
a. Weight gain b. Swelling in the legs c. Jugular vein distention d. Crackles in the lungs