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Toward the umbilicus
Choose an answer
Who is highest priority among four Urinalysis may be ordered for
1 2
patients? suspected?
What is the priority assessment for a
What is the direction for enema tube
3 patient with ileostomy reporting 4
insertion?
dizziness?
Don't know?
Terms in this set (95)
Who is highest priority among four No urine output today
patients?
Which finding requires immediate Severe abdominal pain post-enema
nursing action?
, What is the priority intervention for a Maintain fluid balance
diarrhea patient with dry mucous
membranes?
Which post-op TURP observation is Irrigation not flowing
priority?
What is the priority assessment for a Intake and output
patient with ileostomy reporting
dizziness?
Which patient is most unstable? Anuria
What imbalance occurs with output Fluid volume deficit
greater than intake in a diarrhea
patient?
What does crackles and bounding Fluid volume excess
pulse indicate?
What does a 2 kg gain in 24 hours Two liters retained
indicate?
What is the likely cause of rectal pain Hemorrhoids
in a constipation patient?
Which findings support fluid Crackles, Bounding pulse, 3+ pitting edema
retention?
Which findings support dehydration? Weak pulse, Dry mucous membranes, Output greater
than intake
Urinalysis may be ordered for UTI, Uncontrolled diabetes
suspected?
Ileostomy teaching priorities include? Monitor fluids, Monitor electrolytes, Skin protection