The nurse notes mucous shreds in the urine of a client with an ileal diversion. The nurse's priority action is to:
1. Document the finding.
2. Notify the supervisor.
3. Ensure that the client is ordered an antibiotic.
4. Encourage the client to increase fluids.
1
Rationale: This is a normal finding, and no action is required other than documentation.
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During a health interview by the home health nurse, which patient complaint suggests left-sided heart failure?
a. "I have to sleep in my recliner and I have this hacking cough." b. "I have no appetite and I have lost 3 lb in the last week." c. "I have to urinate every 2 hours, even during the night." d. "I go barefoot most of the time because my feet are so hot."
A nurse has decided to enter the field of emergency rescue by becoming a paramedic. Which of the following is one of the most important skills with which a paramedic must be proficient?
A) Technical skills B) Cognitive skills C) Interpersonal skills D) Legal/ethical skills
Which intervention is appropriate to use for patients with either delirium or dementia?
a. Speak in a loud, firm voice. b. Touch the patient before speaking. c. Reintroduce the health care worker at each contact. d. When the patient becomes aggressive, use physical restraint instead of medication.
"The wife of the client diagnosed with chronic alcoholism tells the nurse, ""I have to call his work just about every Monday to let them know he is ill or he will lose his job."" Which would be the nurse's best response?
"A. ""I'm sure that this must be hard for you. Tell me about your concerns."" B. ""You are afraid he will lose his source of income."" C. ""Why would you call in for your husband? Can't he do this?"" D. ""Are you aware that when you do this your are enabling him?""