Post transurethral resection of the prostate, a client has a three-way catheter with a continuous bladder irrigation. 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 is the recording of the urinary output for the 8-hour period? (Enter the number only. No units)
The Correct Answer is ["900"]
Calculation:
- Identify the infused volume and the total output volume.
Total measured output (drainage bag) = 2500 mL
Total infused irrigation solution = 1600 mL
- Calculate the actual urinary output (Actual Output = Total Output - Irrigation Infused).
Urinary Output (mL) = 2500 mL - 1600 mL
= 900 mL
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Assess the client’s respiratory status: Respiratory compromise is the most immediate threat in acute heart failure exacerbation due to pulmonary congestion and edema. Evaluating oxygenation, breath sounds, and work of breathing is the priority for client safety.
B. Draw blood to assess the client’s serum electrolytes: Electrolyte assessment is important for ongoing management, especially with diuretic therapy, but it is not the immediate priority over assessing airway and breathing.
C. Ask the client about current medications: Medication history helps guide treatment, but it does not address the most urgent physiological threat.
D. Administer intravenous furosemide: IV diuretics are used to reduce fluid overload, but they should be given after assessing the client’s respiratory and hemodynamic status to ensure safe administration.
Correct Answer is B
Explanation
A. “I would wear a snug-fitting shirt over the ICD”: Clothing choice does not significantly affect ICD function. Loose, comfortable clothing is recommended, but this statement does not demonstrate a key safety understanding.
B. “I will avoid sources of strong electromagnetic fields”: ICDs can malfunction when exposed to strong electromagnetic interference, such as from MRI machines, high-voltage equipment, or certain medical devices. Avoiding these sources demonstrates correct understanding of safety precautions.
C. “Now I can discontinue my antidysrhythmic medication”: Clients with ICDs often need to continue prescribed medications to manage underlying arrhythmias. Discontinuing medication without provider guidance is unsafe.
D. “I would participate in a strenuous exercise program”: Strenuous activity may pose a risk of injury or trigger ICD shocks if the heart rate becomes too elevated. Activity should be moderate and cleared by the healthcare provider.
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