The nurse notes that the client’s surgical dressing is saturated and wet with sanguineous drainage one hour post-operatively. The nurse does which of the following? Select All That Apply. a. Notify the MD.b. Reinforce the dressing.c. Connect the drainage system to suction. d. Assess the client’s vital signs.e. Note the color and amount of drainage.

The nurse is concerned when a patient admitted with a diagnosis of pneumonia suddenly develops a urinary tract infection (UTI). What type of infection is this UTI considered? a. Viral infectionb. Bacterial infectionc. Health care–associated infectiond. Spore infection

The nurse is pouring a sterile solution from a bottle. What direction should the label on the bottle be in for appropriate technique? a. Facing outwardb. Coveredc. Facing downwardd. In the palm of the hand  

The nurse recognizes that when a patient is unable to consume adequate nutrition by mouth, an alternative route such as a feeding ostomy may be used. What is the proper term for feeding a patient by this method? a. Total parenteral nutrition (TPN)b. Nasogastricc. Enterald. Parenteral  

There are parenteral IV fluids made of different solutions. Identify a type of IV fluid: a. Isometricb. Hypertoniac. Hypotoniad. Hypertonic  

What is the usual length of time before suture removal? a. 2 to 3 daysb. 4 to 5 daysc. 5 to 6 daysd. 7 to 10 days  

In what circumstance is it appropriate for an enteral feeding tube to be used? a. Kidney surgeryb. Jaw traumac. Ear irrigationd. Isolation

What action exemplifies a nurse practicing medical asepsis in performing daily care? a. Lifting a sterile swab from a sterile fieldb. Using disposable sterile gownsc. Washing hands for 5 minutes between patientsd. Keeping bed linens off the floor  

What manifestation of Potassium imbalance will the nurse be most concerned about? a. Systemic edemab. Cardiac complicationsc. Muscle crampingd. Impaired kidney function  

The nurse must keep an accurate intake and output record to assess kidney efficiency. In order for the kidneys to remove waste, what is the least amount of hourly urine output the kidneys must produce to remove waste? a. 10 mLb. 20 mLc. 30 mLd. 40 mL