The nurse is initiating continuous bladder irrigation on a patient that just underwent a prostatectomy. The nurse understands that the flow rate is adequate if:
• The goal of continuous irrigation is to prevent blood clots. The flow needs to prevent blood and drainage from forming a clot, that is why the urine should be kept light pink or yellow. The infusion rate should be adjusted to maintain this urine color.
• No urine output would indicate an obstruction, likely from a clot.
• If the urinary drainage is as clear as water, the infusion should be slowed.
A patient with a recent myocardial infarction (MI) has asked if he can talk to the nurse about sex. What should the nurse do?
The nurse is performing an admission assessment on a patient with a history of myocardial infarction. Which signs and symptoms of left-sided heart failure should the nurse look for?
A patient is scheduled to undergo an upper GI endoscopy for the diagnosis of esophageal varices. The nurse explains to the patient that esophageal varices:
The nurse is caring for a patient complaining of chest pain related to pericarditis. To help relieve the pain, the nurse should instruct the patient to
The nurse is reviewing the lab results of a patient with osteoporosis. The nurse would most likely note abnormalities in:
A patient with hyperaldosteronism is having trouble controlling his hypertension. The nurse explains that his hypertension is caused by excessive aldosterone secretion from the
Lower abdominal pain is a common complaint of patients diagnosed with urinary tract infections. Burning pain is experienced, especially upon urination. To help these patients prevent and relieve urinary discomfort, which of the following should be taught?
A nurse is caring for a patient suspected of having acute respiratory distress syndrome (ARDS). Which of the following assessment data would support the suspected diagnosis?
The nurse is interviewing a patient suspected of having systemic lupus erythematosus (SLE). Which of the following features of SLE is correct?
The nurse is caring for a patient suspected of having lung cancer. The physician performs a bronchoscopy to obtain a biopsy. Which of the following should be reported to the physician?
The nurse reviews a patient's lab results, noting a blood glucose level of 495 mg/dl. The patient is most likely experiencing which acid-base imbalance?
A patient with chronic renal failure will have lab work to evaluate his kidney function. The nurse knows that which of the following are most accurate in predicting kidney function?
A patient with a recent cerebrovascular accident (CVA) is on a dysphagia diet. What should the nurse do to ensure patient safety while eating?
The nurse is discharging a patient who recently underwent surgery for an above-the-knee amputation (AKA) of the left lower extremity. The patient requires additional education if he states:
The nurse is caring for a client receiving chemotherapy for lung cancer. Laboratory results show a platelet count of 18,000/mm³ and WBC of 5,000/mm³. Which of the following measures should the nurse implement
The nurse administers vitamin B12 to a patient with pernicious anemia. This patient has the inability to absorb vitamin B12 because of a deficiency in
A hospital patient is complaining of increased shortness of breath. The nurse observes a respiratory rate of 24 on 3 liters per minute (LPM) of oxygen via nasal cannula. Which of the following actions should be done initially?
The nurse is reviewing the complete blood count with differential of a patient with cytomegalovirus. The nurse should expect an elevation of
The nurse is caring for a patient with a Miller-Abbott tube used to decompress the small bowel. Which of the following would confirm the tube is located in the small intestine?
A patient with diabetes mellitus is seen in the clinic for acute sinusitis. The patient is taught this infection will have which effect on his insulin needs?
After surgery on a left femur fracture, the patient is ordered partial weight bearing. Which of the following is correct about partial weight bearing?
The nurse is caring for a patient with pleurisy. When the nurse auscultates the patient's lungs, a friction rub is heard. This friction rub is the result of
A patient is admitted for gastric bypass surgery. Which of the following patient statements indicates a need for further patient teaching?
Older adults are at risk for excessive fluid loss for several reasons. The nurse is correct by giving which of the following reasons when asked by an elderly client?