The nurse is caring for a client with a cystoscopy tube draining urine from the bladder. When reviewing the client's history prior to administering care, which is of most concern?
A) Diagnostic studies reporting bladder stones
B) Crusted drainage around the cystoscopy tube
C) A white blood count of 12,000 cells/mm3
D) New diagnosis of urosepsis
D
Feedback:
All of the options are typical risk factors for a client with a cystoscopy tube. The most concerning risk factor is of urosepsis, which is a serious systemic infection from microorganisms in the urinary tract invading the bloodstream.
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A young patient is being treated for a femoral fracture suffered in a snowboarding accident. The nurse's most recent assessment reveals that the patient is uncharacteristically confused
What diagnostic test should be performed on this patient? A) Electrolyte assessment B) Electrocardiogram C) Arterial blood gases D) Abdominal ultrasound
In some settings, identifying the patient who is at risk for medication error (confused or critically ill) can be accomplished by which process?
a. Asking the patient his or her name and room number b. Asking the patient's roommate for the patient's name c. Carrying the patient's chart with you to the room d. Using the portable computer to scan the identification bracelet
A client has a hemoglobin level of 8.2 g/dl. The nurse finds the client dyspneic with an O2 saturation of 98%. The client has oxygen on at 2 liters per nasal cannula. Which intervention by the nurse would be best to meet this client's needs?
a. Call the physician and suggest a transfusion. b. Find another oximeter and check another saturation. c. Increase the O2 to 6 liters per nasal cannula. d. Prepare to intubate and mechanically ventilate the client.
Which of the following is recommended to ensure safety for the home healthcare nurse?
A) traveling with another nurse C) talking to family members B) carrying a cellular phone D) refusing assignments