The nurse is documenting in the nurses' notes. Which of the following is appropriate nursing documentation? Select all that apply.
A) The leg wound is erythematous and dry, measuring 2 x 4 cm. B) 18-gauge Foley catheter inserted using sterile technique with 200 mL of urine returned. Client tolerated procedure without complaint. C) The doctor circumcised the client. D) Client's mother was rude to the respiratory therapist. E) I gave the client morphine for her pain.
Question 2
The nurse would anticipate inability to obtain a penile erection if:
A) the nerves that control contraction of the muscles of the penile shaft were injured. B) the flow of seminal fluid through the ejaculatory duct were blocked. C) the prostate gland were enlarged, and partially blocking urethral outflow. D) there were diminished blood flow through the corpora cavernosa.
Nurse-patient interaction; nonveral communication
B, The nurse teaches the postoperative client to use an incentive spirometer to expand the lungs.
NANDA international nursing diagnosis 2
Nursing assessment questions
Nursing history for weight assessment
Nursing history for female genetalia and reproductive tract assessment