The nurse is performing a soapsuds enema and notes leakage of fluid around the catheter tip after administering half the prescribed volume. The nurse lowers the bag to slow the infusion and notes that fluid continues to leak around the catheter. Which action should the nurse take next?
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The nurse is observing a family member changing a dressing f…
The nurse is observing a family member changing a dressing for a patient in the home health setting. Which of the following demonstrates that the family understands how to manage contaminated dressings?
The nurse notices the patient’s foley catheter bag has been…
The nurse notices the patient’s foley catheter bag has been empty for 4 hours. What would be the priority action for the nurse?
Which question would take priority when collecting a bowel e…
Which question would take priority when collecting a bowel elimination history for a newly admitted patient with a medical diagnosis of possible bowel obstruction?
A nurse is preparing to do a sterile dressing change and gat…
A nurse is preparing to do a sterile dressing change and gathers supplies including some extra supplies. The nurse knows this is important because of which of the following?
Which is the most common cause of sleep deprivation in the h…
Which is the most common cause of sleep deprivation in the hospital that the nurse should consider when planning care for the patient?
A patient with constipation is prescribed Miralax (polyethyl…
A patient with constipation is prescribed Miralax (polyethylene glycol 3350) in order to facilitate a bowel movement. The nurse knows the bowel movement may be hard and painful by the time the patient has a bowel movement and asks the doctor to add which medication?
The nurse is teaching a caregiver how to perform assisted fe…
The nurse is teaching a caregiver how to perform assisted feeding for a patient with dysphagia. Which of the following statements indicate teaching has been successful? (Select all that apply.)
Which patient will pose the greatest challenge to the assess…
Which patient will pose the greatest challenge to the assessment skills of the nurse when determining a patient’s need for medication in response to acute pain?
Mr. Williams is learning about care of his ostomy. The nurse…
Mr. Williams is learning about care of his ostomy. The nurse provides accurate information when telling the patient which of the following statements?