Answer to Question 1
C
Feedback
A A patient with normal renal function who does not have heart or kidney disease should drink up to 2000 mL of fluid daily. Increasing the patient's fluid intake to 3500 mL is excessive.
B Because bladder catheterization carries the risk of UTI, it should be avoided if possible. The nurse should try other noninvasive measures to promote urination before calling the physician for an order to insert a Foley catheter.
C The nurse can pour warm water over the patient's perineum and create the urge to urinate.
D The nurse should not apply firm pressure over the bladder of a postpartum woman with an intact nervous system. The nurse could create more damage by exerting force on the patient's uterus at this time.
Answer to Question 2
B
Feedback
A Recovery does not represent the final R in I-SBAR-R.
B The final R in I-SBAR-R represents repeat back, which includes repeating back orders that have been given or clarifying any questions.
C Reorganization does not represent the final R in I-SBAR-R.
D Reintegration does not represent the final R in I-SBAR-R.
Positioning the Patient in the Fowler’s Position
Walkers help the patient ambulate safely.
Algorithm for assessing a patient at risk for self-directed violence.
Grief Responses and Patient Verbalization
The sequence of steps during delivery is shown clearly in these drawings