A nurse is caring for a client who is 6 hr postoperative following abdominal surgery and is having difficulty voiding. Which of the following actions should the nurse take?

Allow the client to hear running water while attempting to void.

Provide the client a bedpan while lying supine.

Encourage fluid intake up to 1,000 mL daily.

Insert an indwelling urinary catheter and connect it to gravity drainage.

Answer and Explanation

The Correct Answer is C

A. While this technique can sometimes be helpful, it's not the first-line intervention for postoperative urinary retention. Encouraging fluids is a more fundamental step.

B.   Lying supine may make it more difficult for the client to void. Sitting upright or ambulating to the bathroom may be more effective.
C.   Encouraging fluids helps maintain adequate urine output, which is essential for preventing urinary retention after surgery. Dehydration can worsen the difficulty voiding.
D.   Catheterization should be considered only after other interventions to promote voiding have been attempted and failed, as it carries the risk of infection and discomfort.

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Correct Answer is C

Explanation

A. The dropper should be held about 1 cm (0.4 in) away from the eye to avoid touching or injuring the eye or contaminating the dropper tip.
B. Massaging the eyelids after instillation is not a standard practice and may cause discomfort or injury to the eye.
C. Administering multiple ophthalmic medications requires a sufficient interval between doses to prevent interactions and ensure effectiveness.
D. Asking the client to close their eyes tightly may squeeze out some of the medication or increase intraocular pressure.

Correct Answer is ["400"]

Explanation

To solve this problem, we need to apply the following formula:

Dose (mg) = Dose (mg/kg/day) x Weight (kg) / Frequency Plugging in the given values, we get:

Dose (mg) = 80 x 20 / 4 Dose (mg) = 400

Therefore, the nurse should administer 400 mg of cefoxitin per dose to the child.

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A nurse is caring for a client who is 6 hr postoperative following abdominal surgery and is having difficulty voiding. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is administering multiple types of ophthalmic drops to a client. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is preparing to administer cefoxitin 80 mg/kg/day IV every 6 hr to a 6-year-old child who weighs 20 kg. How many mg should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["400"]

Explanation

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