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 ["125"]

Explanation

Step 1 is to understand the question. The patient has been prescribed vancomycin 1 g in 250 mL dextrose 5% (D5W) to be administered over 2 hours via IV intermittent bolus. We need to calculate how many mL/hr the nurse should set the IV pump to deliver.

Step 2 is to calculate the rate. The total volume to be administered is 250 mL and the time for administration is 2 hours. So, the rate is 250 mL ÷ 2 hours = 125 mL/hr.

A. Refrigerate the urine during the collection time period. B. Discard the client’s last void at the end of the collection time period. C. Include toilet paper with the collected urine. D. Save the first void at the start of the collection time period.

Correct Answer is A

Explanation

Choice A rationale

The nurse should plan to refrigerate the urine during the collection time period. This is because the urine needs to be kept cool to prevent the breakdown of certain analytes that might be measured in the urine.

Choice B rationale

The nurse should not discard the client’s last void at the end of the collection time period. The last voided specimen should be included in the collection to ensure that the 24-hour collection is complete.

Choice C rationale

The nurse should not include toilet paper with the collected urine. Toilet paper could contaminate the urine sample and interfere with the accuracy of the test results.

Choice D rationale

The nurse should not save the first void at the start of the collection time period. The first voided specimen should be discarded, and the collection should start with the next void.

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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 caring for a patient who has sepsis. The patient has been prescribed vancomycin 1 g in 250 mL dextrose 5% (D5W) to be administered over 2 hours via IV intermittent bolus. How many mL/hr should the nurse set the IV pump to deliver?

Correct Answer is ["125"]

Explanation

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Correct Answer is A

Explanation

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