a nurse cares for adult patients who experience urge incontinence. for which patient would the nurse plan a habit training program? - answerA 78-year-old female who is confused while assessing a patient who has facial trauma, the nurse auscultates stridor. the patient is anxious and restless. what action should the nurse take first? - answerContact the provider and prepare for intubation. the nurse cares for a patient with urinary incontinece. The patient states im so embarrased. My bladder leaks like a young child's bladder. how would the nurse respond? - answerI can teach you strategies to help control your incontinence." the charge nurse on the medical unit is preparing to admit several "patients" who have possible pandemic flu during a preparedness drill. what action by the nurse is best? - answerCohort the "clients" in the same area of the unit. a nurse is caring for a pt with a peripheral vascular accsess device who is experiencing pain, redness and swelling at the site. after removing the device, what action would the nurse take to relieve pain? - answerPlace warm compresses on the site. a patient with peptic ulcer disease is in the emergency department and reports the pain has gotten much worse over the last several days. the patients blood pressure when lying down was 122/80mm hg and when standing was 98/52 mm hg. what action by the nurse is most appropriate? - answerStart a large-bore IV with normal saline. a nurse cares for a patient who is experiencing epitaxis. what action would the nurse take first? - answera. Initiate Standard Precautions. the nurse assess patients on the med surg unit, which patient is at greatest risk for development for bacterial cystitis - answerA 58-year-old female who is not taking estrogen replacement a nurse assess a patient with a mechanical bowel obstruction who reports intemmittent abdominal pain. an hour later the patient reports constant abdominal pain. which action would the nurse take next - answerAssess the client's bowel sounds. a nurse assess a patient with a mechanical bowel obstruction who reports intermittent abdominal pain. an hour later the patients reports constant abdominal pain. which action would the nurse take next? - answerAssess the client's bowel sounds. while assessing a patient's peripheral iv site, the nurse observes a streak of red along the vein path and palpates a 4cm venous cord. how will the nurse document this finding - answerGrade 3 phlebitis at IV site a nurse cares for a patient who has kidney stones from secondary hyperoxaluria. which medication does the nurse anticipates administering? - answerAllopurinol (Zyloprim) a nurse cares for a patient with a 40 yr old smoking hx who is experiencing distended neck veins and dependent edema. which psychologic process would the nurse coorlate with the patients hx and clinical manifistations? - answerIncreased pulmonary pressure creating a higher workload on the right side of the heart a nurse teaches a patient who is at risk for colon cn. which dietary recommendation would the nurse teach this patient? - answerAdd vegetables such as broccoli and cauliflower to your new diet." a nurse cares for a patient who was prescribed mesalamine (rowasa) for ulcerative colitis. the patient states " I am having trouble swallowing this pill." which action would the nurse take? - answerAsk the health care provider to prescribe the medication as an enema instead. a nurse cares for a patient who had a colostomy placed in the ascending colon 2 weeks ago. the patient states. "The stool in my pouch is still liquid. "how would the nurse respond? - answer"The stool will always be liquid with this type of colostomy." the nurse is caring for a patient who was prescribed a long acting beta 2 agonist. the patient states " the medication is too expensive to use everyday. I only use my inhaler when i have an attack. how would the nurse respond? - answer"I will take this medication every morning to help prevent an acute attack."