The nurse is preparing to test a patient for postvoid residual with a bladder scan. Which action will the nurse take?

Measure bladder before the patient voids.

Measure bladder with head of bed raised to 90 degrees.

Measure bladder with head of bed raised to 60 degrees.

Measure bladder within 15 minutes after the patient voids.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Measuring the bladder before the patient voids would not provide an accurate measurement of postvoid residual, which is the amount of urine left in the bladder after voiding.

Choice B rationale

The position of the head of the bed does not directly impact the measurement of postvoid residual. However, the patient should be in a comfortable position during the procedure.

Choice C rationale

Similar to Choice B, the position of the head of the bed does not directly impact the measurement of postvoid residual.

Choice D rationale

Measuring the bladder within 15 minutes after the patient voids allows for an accurate measurement of postvoid residual, which can help assess bladder function.

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Free Nursing Study Resources

Correct Answer is ["75"]

Explanation

Step 1 is to divide the total volume of TPN by the total time in hours.

So, 1800 mL ÷ 24 hr = 75 mL/hr.

A. Mix the three medications together prior to administering. B. Maintain the head of the bed in a flat position for 30 min following medication administration. C. Flush the NG feeding tube with 30 mL of water immediately following medication administration. D. Dilute each medication with 10 mL of tap water.

Correct Answer is C

Explanation

Rationale:

When administering multiple liquid medications through an NG tube, it’s important to administer each medication separately to prevent drug interactions. After each medication, the NG tube should be flushed with 30 mL of water to ensure that the medication has been fully administered and to prevent the tube from becoming clogged.

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The nurse is preparing to test a patient for postvoid residual with a bladder scan. Which action will the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer total parental nutrition (TPN) 1800 mL to infuse over 24 hr. The nurse should set the IV pump to deliver how many mL/hr?

Correct Answer is ["75"]

Explanation

A nurse is preparing to administer three liquid medications to a client who has an NG feeding tube with continuous enteral feedings. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is about to replace a nearly depleted container of total parenteral nutrition (TPN) for a patient, but discovers a delay in the delivery of the new TPN solution from the pharmacy. Which solution should the nurse administer until the next TPN solution is available?

A nurse is caring for a patient who receives intermittent enteral feedings through an NG tube.Before administering a feeding, the nurse should measure the gastric residual for which of the following purposes?

A nurse finds that the infusion pump for a patient’s total parenteral nutrition (TPN) solution is not working. What condition should the nurse monitor the patient for?

A nurse is assessing a patient’s wound dressing and observes a watery red drainage. How should the nurse document this type of drainage?

A nurse is developing a care plan for a patient with a decreased level of consciousness who is receiving continuous enteral feedings through a gastrostomy tube due to an inability to swallow.What should be the nurse’s priority action?

A nurse is caring for a patient who has a cloudy, opaque area over the lens of one eye. Which of the following visual impairments should the nurse identify this as a symptom of?