The critical care nurse is monitoring the patient's urine output and drains following renal surgery. What should the nurse promptly report to the physician?
A) Increased pain on movement
B) Absence of drain output
C) Increased urine output
D) Blood-tinged serosanguineous drain output
Ans: B
Feedback:
Urine output and drainage from tubes inserted during surgery are monitored for amount, color, and type or characteristics. Decreased or absent drainage is promptly reported to the physician because it may indicate obstruction that could cause pain, infection, and disruption of the suture lines. Reporting increased pain on movement has nothing to do with the scenario described. Increased urine output and serosanguineous drainage are expected.
You might also like to view...
The team leader on the surgical unit has frequent absences from work on Fridays. She phones and reports herself sick, but in fact she has day-care issues on Fridays. This is an example of:
1. Voluntary absenteeism. 2. Absence frequency. 3. Total time lost. 4. Involuntary absenteeism.
Which of the following statements reflects an accurate understanding of systems theory?
a. A change in one part of the whole will have an effect on another. b. Humans have certain basic needs. c. One must consider how humans cope or do not cope with stress. d. Roles change over a lifetime.
Which of the following scenarios shows an ethical conflict?
a. A nurse who consistently speaks poorly of another nurse for always being "grumpy" b. A nurse who has a hard time respecting ‘no codes' on young patients c. A nurse who refuses to run a systems check on the glucometers because "it's night shift's duty" d. A nurse who forgets to alert family mem-bers to a change in visiting hours
The nurse points out that early testing on the newborn that discloses conditions that could result in intellectual disability include: (Select all that apply.)
a. PKU b. Down syndrome c. Congenital hypothyroidism d. Cerebral palsy e. Fetal alcohol syndrome