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14th Edition
ISBN: 9780357014738
Author: Michelle Green
Publisher: Cengage Learning
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32-Six hours after removing a postoperative client's indwelling urinary catheter, the client has not voided. What action should the practical nurse take?
A- Ask the client if they are uncomfortable.
B- Reinsert the indwelling urinary catheter.
C- Obtain order to increase intravenous infusion rate.
D- Complete a bladder scan.
asap please
The nurse is caring for a 40-year-old client who is 2 hours postoperative following an appendectomy. The client received general anesthesia for the procedure and has opioid pain medications prescribed. The client’s vital signs are Temp 97.2°F, HR 105, RR 24 and BP 110/50. The client has had only 30 mL urine output since arriving to the postoperative area. The client is arousable and slow to respond to commands, but has become slightly restless, shifting in the bed frequently. The client states that they “hurt” and asks for something to drink. The last dose of IV pain medication was given to the client just before leaving the surgical suite.
Discuss three key pieces of assessment data and why you feel they are important.
Discuss nursing interventions you would implement in caring for this client.
The surgical team is about to begin a renal transplant for a client with chronic renal failure which question should the practical nurse ask the surgical team during tine out (select all that apply)
A
Was surgical asepsis monitored during set up?
B
Has the client been verified for this procedure?
C
Is the preoperative teaching complete?
D
Is the client ready to be transported to the surgical suite?
E
Have the right procedure and correct site been established?
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- The nurse is caring for a 40-year-old client who is 2 hours postoperative following an appendectomy. The client received general anesthesia for the procedure and has opioid pain medications prescribed. The client’s vital signs are Temp 97.2°F, HR 105, RR 24 and BP 110/50. The client has had only 30 mL urine output since arriving to the postoperative unit. The client is arousable and slow to respond to commands, but has become slightly restless, shifting in bed frequently. The client states that they “hurt” and asks for something to drink. The last dose of IV pain medication was given to the client just before leaving the surgical suite. Review the patient scenario and select 3 pieces of data that you feel is important for the nurse to know and assess. Explain the significance of the data in relationship to the surgical patient. Please provide your rationale.arrow_forwardHematology Data: 24 hour urine volume: 1,000 mL; Serum Creatinine: 2.0 mg/dL; Urine Creatinine: 200 mg/dL What's the calculation for the Creatinine clearance? Please show steps, thank you!arrow_forwardA nurse is administering 500 mL of saline solution to apatient over 10 hours. The administration set delivers 60 gtts/min. Determine the infusion rate to administer via gravityinfusion.Place your answer on the line provided below.arrow_forward
- If you choose one from this group, you need to identify the AIM of this intervention by discussing what pathophysiological changes, specific to Mehmet, that the intervention is intended to detect. You need to identify what health impact those pathophysiological changes might have for Mehmet. You need to briefly refer to any GUIDELINES which support this intervention. yearly optometrist assessment yearly renal function assessmentarrow_forwardIvan is a preceptor for surgical technology students rotating through the cystoscopy room. He explains that the procedure coming up is a cystoscopy with stent placement to be followed by an extracorporeal shockwave lithotripsy or ESWL procedure. The surgeon plans to perform a cystogram during the procedure and orders urine culture and sensitivity. How would the urine specimen be obtained and what might it look like? What type of procedure is a cystoscopy and what type of special instrumentation or equipment is used for this procedure? What type of mechanical blockage is being treated by the ESWL procedure? What is the purpose of the stent placement in this case and why is it necessary? What type of PPEs should the team members wear during the cystogram? Please answer questions 1,2,3,4, and 5 if possible.arrow_forwardWhile inserting an indwelling urinary catheter into a ckient the nurse observe urine flow in the tubing, which action should be taken nextarrow_forward
- Is this answer correct?arrow_forwardThe nurse will administer Phenytoin (Dilantin) per IV to the client with grand mal seizures. Which of the following should the nurse prepare? 10mL LR 10 mL NaCl 0.9% 10mL D10Warrow_forwardIn addition to a cardiac glycoside and a diuretic, the provider prescribes an ACE inhibitor to treat the client's heart failure. The nurse should reinforce to the client that OTC medications can reduce the effectiveness of the ACEinhibitor. What otherinteractions with the ACEinhibitor should the nurse teach the client about?arrow_forward
- In reviewing the patient’s current information, a concern exists that acute kidney injury has developed. Select to highlight the laboratory information that would support this concern.UrinalysisCasts - +++Cola-color to urineProteinuriaBlood ValuesRBC - 3.9 cells/L (4.0-4.9 cells/L)Hgb 10 g/dL (12-16 g/dL)Hct-40% (37%-48%)WBC 11.0 cells/L (4.0-10.0 cells/L)Platelets - 140 cells/L (150-450 cells/L)Sodium - 140 mEq/L (135-145 mEq/L)Potassium - 4.5 mEq/L (3.5-5.2 mEq/L)BUN - 32 mg/dL (5-20 mg/dL)Creatinine 1.8 mg/dL (0.5-1.5 mg/dL)Blood Glucose - 180 mg/dL (nonfasting) (<200 mg/dL)AST-40 Units/mL (5-40 Units/mL)ALT - 30 Units/mL (5-35 Units/mL)Bilirubin (total)- 0.8 mg/dL (<1.0 mg/dL)Albumin - 4.0 (3.5-5.5 g/dL)PT-22 (11.5-14 seconds)arrow_forwardNursing As student intern you were asked to discuss the different specimens that are acceptable and rejected for pre transfusion testing. Present your answers in properly identified pictographs.arrow_forwardA client has an indwelling catheter bag with 380 mL and a chest tube with 150 mL of drainage. How many milliliters would the nurse record for the shift's output __?arrow_forward
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