The nurse assesses a postsurgical client’s urinary output via the Foley catheter and notes there is 60 mL of urine in the bag in the last 3 hours. What is the nurse’s first action?
The nurse assesses a postsurgical client’s urinary output vi…
The nurse is preparing a client for a surgery scheduled for…
The nurse is preparing a client for a surgery scheduled for 0800. The client will be given an epidural anesthetic. Which statement indicates the client requires additional teaching?
The nurse is contributing to the care plan for a client sche…
The nurse is contributing to the care plan for a client scheduled for surgery. Which activity should the nurse suggest to be included on the day of surgery?
The nurse is discussing the nurse’s role in obtaining inform…
The nurse is discussing the nurse’s role in obtaining informed consent with a group of coworkers. Which of the following statements should the nurse include?
The practical nurse should reinforce what instruction to a c…
The practical nurse should reinforce what instruction to a client to prevent a postoperative deep venous thromboembolism (DVT)?
A client with a diagnosis of Type I Diabetes Mellitus has be…
A client with a diagnosis of Type I Diabetes Mellitus has been NPO since midnight and is scheduled for surgery at 9 am. The nurse reviews the medical record and notes that the client usually receives 38 units of glargine (Lantus®) insulin at 8:00 am. There are no prescriptions in the clinical record for insulin. What is the most appropriate action by the nurse?
The nurse is caring for a non-ambulatory client with chronic…
The nurse is caring for a non-ambulatory client with chronic respiratory problems on post operative day two. What is the priority nursing action to decrease the risk of pneumonia?
A client with a history of opioid abuse is scheduled for ope…
A client with a history of opioid abuse is scheduled for open heart surgery. During preoperative teaching, what should the nurse emphasize regarding postoperative pain control for this client?
The client scheduled for an elective hysterectomy tells the…
The client scheduled for an elective hysterectomy tells the nurse that they don’t know whether they can go through with the surgery because they know they will die in surgery like their mother. What is the most appropriate response by the nurse?
A nurse is reviewing the laboratory results of a client who…
A nurse is reviewing the laboratory results of a client who has undergone preadmission testing prior to surgery. The following results are reported: Which lab result should the nurse report to the surgeon’s office, as it may necessitate postponing the surgery? Hemoglobin (HGB) Female 12-16g/dL Male 14-18 g/dL Platelets (PLT) 150,000 – 450,000/mm3 Creatinine (Cr) 0.06-1.2mg/dL Sodium (Na) 135-145mEq/L