A physician orders hourly urine output measurement for a postoperative client with an indwelling catheter. The nurse records the following amounts of
... [Show More] output for 2 consecutive hours: 8 a.m. (0800): 50 ml; 9 a.m. (0900): 60 ml. Based on these amounts, which action should the nurse take? You Selected: Irrigate the indwelling urinary catheter. Correct response: Continue to monitor and record hourly urine output. Explanation: Remediation: Question 2 See full question A nurse is performing a sterile dressing change. Which action contaminates the sterile field? You Selected: Holding sterile objects above the waist Correct response: Pouring solution onto a sterile field cloth Explanation: Remediation: Question 3 See full question When bandaging a client's ankle, the nurse should use which technique? You Selected: Spiral reverse Correct response: Figure-eight Explanation: Remediation: Question 4 See full question A client who's scheduled for open-heart surgery in 2 days has been having circulation problems in the feet and legs. The physician orders antiembolism stockings. The nurse is teaching the client about this treatment. What is the purpose of antiembolism stockings? MED SURG LEVEL 4 Fundamentals Prepu Alt; South Texas College You Selected: To decrease arterial blood circulation to the legs and feet Correct response: To reduce or prevent edema of the legs and feet Explanation: Remediation: Question 5 See full question A primary unit nurse tells the nurse-manager that a newly hired registered nurse needs an additional week of orientation in order to function effectively on the staff. Which action is most appropriate for the nurse-manager to take? You Selected: Tell the primary nurse that the new nurse must finish orientation within 6 weeks because of a staffing shortage. Correct response: Meet with the new nurse and the primary nurse and help set up an additional week of orientation. Explanation: Question 6 See full question For a client with a nursing diagnosis of Insomnia, the nurse should use which measure to promote sleep? You Selected: Serving the client a cup of coffee and a snack in the evening Correct response: Playing soft or soothing music Explanation: Remediation: Question 7 See full question During the termination phase of a nurse-client relationship, which intervention may lead to client confusion? You Selected: Having the client express sadness that the relationship is ending [Show Less]