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
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Correct Answer is C
Explanation
A. Using a feminine pad at night instead of a tampon can reduce the risk of TSS, which is correct.
B. Not using tampons reduces the risk of TSS. This statement is correct.
C. Tampons should be changed every 4 to 8 hours, not 10 hours, to reduce the risk of TSS. This statement indicates a lack of understanding.
D. Hand hygiene before inserting a tampon is critical for preventing TSS. This statement is correct.
Correct Answer is A
Explanation
A. Clients with ICDs should avoid strong electromagnetic fields, which can interfere with the device’s function. This is crucial for safety.
B. Discontinuing antidysrhythmic medication is not recommended unless instructed by the healthcare provider, as it could increase the risk of arrhythmias.
C. Strenuous exercise may be too strenuous for someone with an ICD and could increase the risk of arrhythmias or lead to ICD activation.
D. A snug-fitting shirt is generally not recommended because it may place pressure on the ICD site and cause discomfort.
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