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Answer:secure the tubing with adhesive tape to the lower abdomen.
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135. a nurse is caring for a female client who has an indwelling catheter with a...
A nurse is collecting data from an adolescent client who has experienced sexual abuse. Which of...
A nurse is collecting data from an adolescent client who has experienced sexual abuse. Which of the following statements by the client should the nurse recognized as the use of the use of defense mechanism of suppression? I drink beer as often as I can so that I don’t have to think about all of the times it happened. My mother is the real reason for it all because she doesn’t live in the real world. Sometimes I get angry...
A nurse is implementing seizure precautions for a client who has a seizure disorder the client's...
A nurse is implementing seizure precautions for a client who has a seizure disorder the client's bedside? (Select all that apply.) ✓ Supplemental oxygen supplies T Limb restraints Oral airway Blood glucose monitor Oral suction equipment nurse is assessing a client who has diabetes mellitus prior to performing a blood glucose test. Which of the following findings should the nurse that the client has hyperglycemia? O Shakiness O Cool Skin O Confusion Thirst A nurse is planning care for a...
The nurse is preparing to collect a urine specimen for a routine urinalysis from an adult...
The nurse is preparing to collect a urine specimen for a routine urinalysis from an adult client with an in dwelling catheter. The nurse a) collect at lease 10 mL of urine from the collection drainage bag b) withdraws the urine with a sterile syringe from the tubing port c) clamps the catheter above the port and then obtains the specimen d) uses the sterile gloves to obtain the urine from the collection tubing port
A nurse is caring for a client who is 6 hr postoperative following abdominal surgery and...
A nurse is caring for a client who is 6 hr postoperative following abdominal surgery and is having difficulty voilding. Which of the following actions should the nurse take? Insert an indwelling urinary catheter and connect it to gravity drainage. Encourage fluid intake up to 1,000 mL daily. Provide the client a bedpan while lying supine. Allow the client to hear running water while attempting to void.
A nurse is caring for a client who has a prescription for a stool specimen to...
A nurse is caring for a client who has a prescription for a stool specimen to be sent to the laboratory to be tested for ova and parasites. Which of the following instructions regarding specimen collection should the nurse provide to the assistive personnel? 13 Collect at least 2 inches of formed stool Wear sterile gloves while obtaining the specimen. Use a culturette for specimen collection. Record the date and time the stool was collected
8. A nurse is caring for a client who has a prescription for a stool specimen...
8. A nurse is caring for a client who has a prescription for a stool specimen to be sent to the laboratory to be tested for ova and parasites. Which if the following instructions regarding specimen collection should the nurse provide to the assistive personnel? A. Collect at least 2 inches of formed stool. B. Record the date and time the stool was collected C. Use a culturette for specimen collection D. Wear sterile gloves while obtaining the specimen
A nurse is caring for a client who is experiencing hypovolemic shock due to postpartum hemorrhage....
A nurse is caring for a client who is experiencing hypovolemic shock due to postpartum hemorrhage. After notifying the provider. which of the following actions should the nurse take next? Massage the client's fundus Insert an indwelling urinary catheter. Elevate the client's right hip on a pillow Administer oxygen via nonrebreather face mask at 10 L/min.
A nurse is admitting an older adult client who is transferring from another facility. The nurse...
A nurse is admitting an older adult client who is transferring from another facility. The nurse notes pressure ulcers on the client’s coccyx and abrasions around both wrists. Which of the following actions should the nurse take to address suspicions of elder abuse? Contact the family regarding the client’s condition. Notify risk management. Privately interview the client about her condition. Inform the transferring agency of the client’s condition. A nurse is caring for a client who is experiencing expressive asphasia...
A nurse is caring for a patient who had an indwelling urethral catheter removed 24-hours ago...
A nurse is caring for a patient who had an indwelling urethral catheter removed 24-hours ago and had been urinating without difficulty. The patient reports feeling like the bladder is full but cannot void. The nurse scanned the patient's bladder finding 525 mls of urine present and inserts a straight catheter to empty the bladder. The actions by the nurse demonstrated which of the following? process rights autonomy procedural injustice malpractice
The nurse is caring for a client with a chest tube who accidentally disconnects the tube...
The nurse is caring for a client with a chest tube who accidentally disconnects the tube from the drainage system when trying to get out of bed The nurse immerses the end of the tube in sterile water. What immediate action should the nurse take? Bookmark Stop 1. Obtain a new drainage systenm 2. Ask the client to hold his or her breath. 3.Place the client in a prone position. 4. Place a sterile dressing over the chest tube insertion...
A nurse is implementing seizure precautions for a client who has a seizure disorder the client's bedside? (Select all that apply.) ✓ Supplemental oxygen supplies T Limb restraints Oral airway Blood glucose monitor Oral suction equipment nurse is assessing a client who has diabetes mellitus prior to performing a blood glucose test. Which of the following findings should the nurse that the client has hyperglycemia? O Shakiness O Cool Skin O Confusion Thirst A nurse is planning care for a...
A nurse is caring for a client who has a prescription for a stool specimen to be sent to the laboratory to be tested for ova and parasites. Which of the following instructions regarding specimen collection should the nurse provide to the assistive personnel? 13 Collect at least 2 inches of formed stool Wear sterile gloves while obtaining the specimen. Use a culturette for specimen collection. Record the date and time the stool was collected
8. A nurse is caring for a client who has a prescription for a stool specimen to be sent to the laboratory to be tested for ova and parasites. Which if the following instructions regarding specimen collection should the nurse provide to the assistive personnel? A. Collect at least 2 inches of formed stool. B. Record the date and time the stool was collected C. Use a culturette for specimen collection D. Wear sterile gloves while obtaining the specimen
A nurse is caring for a client who is experiencing hypovolemic shock due to postpartum hemorrhage. After notifying the provider. which of the following actions should the nurse take next? Massage the client's fundus Insert an indwelling urinary catheter. Elevate the client's right hip on a pillow Administer oxygen via nonrebreather face mask at 10 L/min.
The nurse is caring for a client with a chest tube who accidentally disconnects the tube from the drainage system when trying to get out of bed The nurse immerses the end of the tube in sterile water. What immediate action should the nurse take? Bookmark Stop 1. Obtain a new drainage systenm 2. Ask the client to hold his or her breath. 3.Place the client in a prone position. 4. Place a sterile dressing over the chest tube insertion...
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