The nurse receives a report that a patient with an indwelling urinary catheter has an output of 150 mL for the previous 8-hour shift. Which intervention should the nurse implement first?
Give the patient 8 ounces (240 mL) of water to drink.
Notify the healthcare provider.
Check the drainage tubing for a kink.
Review the intake and output record.
The Correct Answer is C
Choice A reason: Giving water may be necessary, but it is not the first intervention if there is a concern about urinary output.
Choice B reason: Notifying the healthcare provider is important but should occur after initial assessments and interventions.
Choice C reason: Checking for a kink in the drainage tubing is a quick and simple intervention that may resolve the issue of low output.
Choice D reason: Reviewing the intake and output record is important for understanding the patient's fluid status but is not the first action to take in this situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.8"]
Explanation
Amount (mg) ÷ Concentration (mg/mL) = Volume (mL)
Step 1: The amount of hydromorphone the patient needs is 3 mg. Step 2: The concentration of the hydromorphone solution is 4 mg/mL. Step 3: Substitute the values into the formula: 3 mg ÷ 4 mg/mL.
Step 4: Calculate the volume: 3 ÷ 4 = 0.75 mL. 0.8 rounded to the nearest tenth
Correct Answer is D
Explanation
Choice A reason: Printing the EMR from a backup server does not resolve the immediate issue of the system lockup and may not be possible if the system is down.
Choice B reason: Identifying information as a late entry is a step to take after the system issue has been resolved and does not address the current problem.
Choice C reason: Waiting for the system to be rebooted is passive and does not actively contribute to resolving the system lockup.
Choice D reason: Notifying the information services department is the first and most proactive step to take, as they are responsible for resolving technical issues with the EMR system.
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