Nokea
A nurse is caring for a client who has an indwelling urinary catheter. What should the nurse identify as a sign of catheter occlusion?
- A. Bladder distention
- B. Frequent urination
- C. Dark urine
- D. Increased thirst
Correct Answer: A
Rationale: Bladder distention indicates the inability to empty the bladder, which can be a sign of catheter occlusion.
You may also like to solve these questions
A nurse finds a client on the floor of their room experiencing a seizure. Which of the following actions is the nurse's priority?
- A. Place the client on their side with their head forward
- B. Call for help
- C. Protect the client's head
- D. Restrain the client
Correct Answer: A
Rationale: Placing the client on their side with their head forward helps maintain an open airway and prevents aspiration.
A nurse is caring for a client who expresses anxiety about an upcoming surgery. What should the nurse do?
- A. Reassure the client that everything will be fine
- B. Ask the client to describe feelings
- C. Tell the client to stay positive
- D. Provide information about the surgery
Correct Answer: B
Rationale: Asking the client to describe their feelings allows the nurse to understand the specific concerns and anxieties the client is experiencing.
A nurse is caring for a client who has a prescription for a narcotic medication. After administration, the nurse is left with an unused portion. What should the nurse do?
- A. Discard the medication in the trash
- B. Return the medication to the pharmacy
- C. Discard the medication with another nurse as a witness
- D. Store the medication for future use
Correct Answer: C
Rationale: Controlled substances should be discarded in the presence of another nurse to ensure accountability.
A charge nurse discovers that a nurse did not notify the provider that a client's condition had changed. The charge nurse should identify that the nurse is accountable for which of the following torts?
- A. Assault
- B. Battery
- C. Negligence
- D. False imprisonment
Correct Answer: C
Rationale: Failure to notify the provider of a change in a client's condition can be considered negligence.
A nurse is admitting a client who has recently developed fever, confusion, and a decreased level of consciousness. Which of the following actions should the nurse take first after obtaining the client's history and assessment?
- A. Identify the client's needs
- B. Start intravenous fluids
- C. Notify the provider
- D. Conduct a neurological assessment
Correct Answer: A
Rationale: Identifying the client's needs is essential to prioritize further interventions.