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Author Question: A patient informs the nurse that his urine is starting to look discolored. How should the nurse ... (Read 18 times)

ssal

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on: Jul 23, 2018
A patient informs the nurse that his urine is starting to look discolored. How should the nurse respond?
 
  a. Don't worry, that is a normal side effect of your medication.
  b. That is an unusual side effect. I'll notify your provider immediately.
  c. You need to drink more fluids to flush the medication from your system.
  d. Other than the discoloration, has anything changed with your urination?

Question 2

A 64-year-old quadriplegic patient needs an IM injection of antibiotic. What is the best site for the administration?
 
  a. Deltoid
  b. Dorsal gluteal
  c. Ventrogluteal
  d. Vastus lateralis


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k2629

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Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: D
The nurse wants to gather additional assessment information about the change in urine color. Information is insufficient to recommend drinking more fluids, or to know whether this is a normal or abnormal side effect. The other options do not provide a focused assessment and are not therapeutic responses.

Answer to Question 2

ANS: D
Vastus lateralis is a large muscle that is easily accessible from the supine position. Because this patient no longer walks, the ventrogluteal muscle will begin to atrophy and is not the ideal location. The dorsal gluteal site is a location for a subcutaneous injection, and this patient requires an IM injection. The deltoid is easily accessible, but this muscle is not well developed in many adults.


ssal

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Reply 2 on: Jul 23, 2018
Great answer, keep it coming :)

mcarey591

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Reply 3 on: Yesterday
Gracias!

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