The nurse knows that indwelling catheters are placed before a cesarean because
a. The patient may void uncontrollably during the procedure.
b. A full bladder can cause the mother's heart rate to drop.
c. Spinal anesthetics can temporarily disable urethral sphincters.
d. The patient will not interrupt the procedure by asking to go to the bathroom.
C
Spinal anesthetics may cause urinary retention due to the inability to sense or carry out the need to void. The patient is more likely to retain urine, rather than experience uncontrollable voiding. With spinal anesthesia, the patient will not be able to ambulate during the procedure. A full bladder has no impact on the pulse rate of the mother.
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An emergency room nurse assesses a client after a motor vehicle crash. The nurse notices a "steering wheel mark" across the client's chest. Which action should the nurse take?
a. Ask the client where in the car he or she was sitting during the crash. b. Assess the client by gently palpating the abdomen for tenderness. c. Notify the laboratory to draw blood for blood type and crossmatch. d. Place the client on the stretcher in reverse Trendelenburg position.
The nurse is caring for a patient who is recovering after hip surgery. The patient requires assistance to use the bathroom because no weight bearing is allowed on the right leg
Which goal is most important for the nurse to include for the diagnosis of toileting self-care deficit? a. The patient will demonstrate safe transfer technique between wheelchair and toilet. b. The call light will be answered promptly when the patient needs to use the toilet. c. Toileting will be scheduled for the early morning when the patient needs to defecate. d. Toilet paper and hand-washing items will be kept within easy reach of the patient.
Which question or comment should the nurse initially use that would best gather the most information during a health history assessment?
a. "Let us help you." b. "Did you seek help when it first started?" c. "Tell me about the problems you are hav-ing." d. "Do you have a family history of this problem?"
What type of analysis selects key domains and constructs systems of classification?
A) Domain B) Taxonomic C) Componential D) Theme