The female client is admitted to the emergency department following a fall from a horse and the physician orders insertion of a Foley catheter. While preparing for the procedure, the nurse notes blood at the urinary meatus. The nurse should:
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The nurse in a pediatric clinic is assessing an infant of 2…
The nurse in a pediatric clinic is assessing an infant of 2 months of age. The mother states “He always spits up a lot, but it has become worse. Vomit goes everywhere.” Which additional assessment will help the nurse identify a possible diagnosis for the infant?
The parent of the 4-year old child is concerned about noctu…
The parent of the 4-year old child is concerned about nocturnal enuresis. What information should the nurse include when educating the parent?
The nurse is providing care for a 2 month old child admitted…
The nurse is providing care for a 2 month old child admitted with manifestations of pyloric stenosis. When an infant with pyloric stenosis is admitted to the hospital, which of the following should the nurse do first?
The nurse has been assigned to care for a client diagnosed w…
The nurse has been assigned to care for a client diagnosed with peptic ulcer disease. Which assessment data require further intervention?
A patient with new onset seizure activity asks about the pur…
A patient with new onset seizure activity asks about the purpose of staying awake all night before having an electroencephalogram (EEG) in the morning. What should the nurse explain to this patient?
A nurse is caring for a client who has reported their incisi…
A nurse is caring for a client who has reported their incision has suddenly “popped open”. The nurse recognizes organs are protruding through the abdominal wall. What action will the nurse implement first?
A nurse is caring for a client who is postoperative followin…
A nurse is caring for a client who is postoperative following a transurethral resection of the prostate (TURP). The nurse should plan to administer the client’s PRN flavoxate when the client reports which of the following manifestations?
A male patient is recovering from prostatectomy and is recei…
A male patient is recovering from prostatectomy and is receiving continuous bladder irrigation. During an 8-hour shift, the patient’s foley drainage bag collects 1200 mL at 8:30 am, 1100 mL at 11:30 am, 1200 mL at 1:30pm, and 990 mL at 3:00pm. The patient received 3890 mL of bladder irrigation. What is the patient’s urinary output for the 8 hour shift? _____mL Enter numbers only
The nurse is caring for a 10-year-old patient with a seizure…
The nurse is caring for a 10-year-old patient with a seizure disorder. The patient states, ” I feel like spiders are crawling on my back before I have a seizure.” Which term describes what the patient is experiencing?