Answer to Question 1
C
Depending on the surgery, some patients do not regain voluntary control over urinary function for 6 to 8 hours after anesthesia. Assess the amount of fluid that the patient obtained while in surgery, and palpate the lower abdomen just above the symphysis pubis for bladder distention. If fluid intake is not excessive and the bladder is nondistended, allowing some time might be appropriate. Not everyone feels as if they need to go but can't after surgery. If the bladder is distended and the patient is unable to void, a catheter might be in order.
Answer to Question 2
C
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A Consultation can occur in assessment, but it occurs most frequently in planning and implementation.
B Nursing diagnoses are an independent action of the nurse.
C Although consultation can occur at any step in the nursing process, it occurs most often during the planning and implementation phases, when problems necessitating additional knowledge, skills, or resources arise.
D Consultation can occur in evaluation, but it occurs most frequently in planning and implementation.
Patient Position for Posterior Percussion
A medical assistant listening to the patient and physician discuss the patient's care.
The medical assistant escorts the patient into the examination room.
Preoperative and Postoperative Patient Instructions
Calipers being used to measure body fat on the triceps of a patient.
Sign and symptoms of a patient with heart failure