A patient is being admitted to the intensive care unit with multiple trauma, and the nurse is reviewing and implementing the admission orders, which include the insertion of an indwelling urinary catheter.
Which nursing diagnosis is a consequence of this intervention?
A) Risk for Excess Fluid Volume
B) Risk for Infection
C) Risk for Acute Urinary Retention
D) Risk for Dysfunction Gastrointestinal Motility
Question 2
In recent days, a female patient on the critical care unit has developed diarrhea and has begun to experience skin breakdown in her perineal area. How should the nurse first respond to this development?
A) Attempt to identify the specific causes of the patient's diarrhea.
B) Advocate for a change in the patient's diet orders.
C) Ask the primary care provider to prescribe loperamide as needed.
D) Obtain an order for a rectal tube.
Example of Health Care Services
Critical thinking and implementing care
Responsibilities of the nurse manager
Fundus of white pateint and black patient
Apply direct pressure to the patient’s wound.
30-Unit Insulin Syringe