The nurse is to check residual urine amounts for a client experiencing urinary retention. Which of the following would be most important?
A) Set up a routine schedule of every 4 hours to check for residual urine.
B) Check for residual after the client reports the urge to void.
C) Record the volume of urine obtained.
D) Catheterize the client immediately after the client voids.
D
Feedback:
To obtain accurate residual volumes, it is important that clients void first and that catheterization occur immediately after the attempt. The nurse should record both the volume voided (even if it is zero) and the volume obtained by catheterization. Intermittent catheterizations are performed based on a schedule, usually 3 to 4 times per day. Residual urine refers to the amount remaining in the bladder after voiding. It is essential that the client voids.
You might also like to view...
The nurse weighs a saturated perineal pad and finds it to weigh 15 grams. The nurse is aware that this indicates a blood loss of _____ mL
ANS:
The goal of treatment of the infant with phenylketonuria (PKU) is to
a. Cure mental retardation. b. Prevent central nervous system (CNS) damage, which leads to mental retardation. c. Prevent gastrointestinal symptoms. d. Cure the urinary tract infection.
A patient who is taking lithium shares with the nurse, "I'm planning to breast-feed my baby who is due to be born in 2 months.". Which statement shows the best understanding of the effect of lithium on breast-feeding?
a. "Your medication would be excreted in your breast milk, so let's discuss a safer option for your baby.". b. "Your medication will cause the breast milk to have an unpleasant taste and will likely cause your infant to be gassy.". c. "This medication will likely affect your ability to lactate, resulting in a marked decrease in breast milk production.". d. "This medication can cause extreme mood fluctuations, which can have a negative effect on your ability to produce breast milk.".
Which is the diluent in a solution such as an antibiotic and SW?
What will be an ideal response?