A client has a three-way catheter with a continuous bladder irrigation post-transurethral resection of the prostate. Over the last 8 hours, there has been 1600 mL of irrigation solution infused and 2500 mL measured in output from the drainage bag. What should the nurse record as the urinary output for the 8-hour period? (Enter the number only. No units)
The Correct Answer is ["900"]
Calculate the actual urine output:
Total output - Irrigation solution = Actual urine output
2500 mL (total output) - 1600 mL (irrigation solution) = 900 mL (actual urine output)
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Increasing normal saline infusion is appropriate for treating dehydration and hypovolemia.
B. Collecting blood cultures and administering antibiotics is appropriate for treating possible sepsis, given the fever and elevated WBC count.
C. Collecting a urine sample for culture and sensitivity is appropriate to investigate a potential urinary source of infection.
D. Administering furosemide, a diuretic, is inappropriate in a client with signs of dehydration and hypovolemia (e.g., low CVP and PAWP) as it can worsen fluid depletion.
Correct Answer is A
Explanation
A. Tight shoes may indicate fluid retention in the lower extremities, which is a common symptom of right-sided heart failure. This condition leads to the backup of blood into the systemic circulation, causing peripheral edema.
B. Sleeping with two pillows may indicate left-sided heart failure, as the client may be experiencing orthopnea (difficulty breathing when lying flat).
C. Shortness of breath is more commonly associated with left-sided heart failure.
D. Waking up coughing every night is also a sign of left-sided heart failure, where pulmonary congestion leads to nocturnal coughing.
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