A patient has just had a urinary drainage catheter removed. The nurse plans to measure intake and output for this patient for another:
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When collecting a urine sample from a client for examination…
When collecting a urine sample from a client for examination, the nurse notes that the sample appears reddish-brown in color. What could cause this variation in color of the urine?
A nurse is collecting data from a client who is reporting pa…
A nurse is collecting data from a client who is reporting pain despite taking analgesia. Which of the following actions should the nurse take to determine the intensity of the client’s pain?
A nurse is caring for a female client who has a prescription…
A nurse is caring for a female client who has a prescription for an indwelling urinary catheter. Which of the following actions should the nurse take first?
A nurse is reinforcing teaching with a client about the use…
A nurse is reinforcing teaching with a client about the use of transcutaneous electrical nerve stimulation (TENS) to manage chronic pain. Which of the following statements by the client indicates the need for further teaching?
A nurse is caring for a patient with prostate enlargement wh…
A nurse is caring for a patient with prostate enlargement who has an indwelling catheter. As the nurse is attaching a portion of the catheter to the patient’s abdomen, the patient asks why this is being done. The correct response is:
A nurse is assessing the stoma of a client with an ostomy. W…
A nurse is assessing the stoma of a client with an ostomy. Which intervention should the nurse perform when providing peristomal care to the client to preserve skin integrity?
A 69-year-old man had a transurethral resection of the prost…
A 69-year-old man had a transurethral resection of the prostate (TURP) early this morning and now has continuous bladder irrigation running. What is the primary goal of this form of irrigation?
The nurse is caring for a client with weakness who is ambula…
The nurse is caring for a client with weakness who is ambulatory but tires easily. Which method for urinary elimination does the nurse recommend?
The nurse is administering a cleansing enema when the client…
The nurse is administering a cleansing enema when the client reports cramping. What is the appropriate nursing action?