A client has a continuous bladder irrigation running after prostatectomy. During the shift, 600mL of one bag of irrigant is infused and 1500mL of the next bag has also infused
Upon draining the urine bag three times during the shift, the nurse measures the volumes emptied to be 800mL, 1,050mL, and 950mL. The nurse expects the volume out to be greater than the volume in and calculates the excess fluid to be which of the following? 1. 950mL
2. 1000mL
3. 700mL
4. 250mL
3. 700mL
Rationale:
The total infused is 600+1500=2,100mL. The total drained is 800+1050+950=2,800mL. The total, or true output, is 700mL greater than the input.
You might also like to view...
A measure of which of the following traits would be a particularly good candidate for a test-retest reliability assessment?
A) Anxiety B) Fear of heights C) Mood D) Fatigue
You are taking a class on caring for victims of biochemical terrorist attacks. You should learn that what agents produce signs and symptoms within seconds of exposure?
A) Viral agents B) Nerve agents C) Pulmonary agents D) Potassium mustards
On assessment of the abdomen of a client 24 hours post–barium swallow, the nurse notes decreased bowel sounds. The client reports having had no bowel movement for 2 days. What conclusion can be drawn from these findings?
A. This is a normal finding following a barium swallow. B. These findings may indicate a barium impaction. C. The client requires an order for milk of magnesia. D. The client's diet may need advancement to stimulate peristalsis.
A nurse who is considered to be judgmental may do what?
A) Be more efficient and effective at making clinical decisions under pressure B) Choose interventions based on his or her own values C) Be better able to discern symptoms and signs from personality traits D) Be paralyzed by fear when interacting with mentally ill clients