A client has a three-way catheter with a continuous bladder irrigation post-transurethral resection of the prostate. 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 should the nurse record as the urinary output for the 8-hour period? (Enter the number only. No units)

Answer and Explanation

The Correct Answer is ["900"]

Calculate the actual urine output:

Total output - Irrigation solution = Actual urine output

2500 mL (total output) - 1600 mL (irrigation solution) = 900 mL (actual urine output)

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Free Nursing Study Resources

Correct Answer is C

Explanation

A. Pouring water over the genitals can help reduce the pain of urination, which is common in clients with genital herpes.

B. Washing hands carefully after applying ointment is important to prevent the spread of the virus.

C. The herpes simplex virus can be transmitted even when lesions are not present, so this statement indicates a need for further education. The virus can be spread through asymptomatic viral shedding.

D. Increasing fluid intake when lesions are open helps to prevent urinary retention and promote healing.

A. Client with a blood pressure of 90/50 mm Hg. B. Client with a temperature of 96° F (35.6° C). C. Client with a pulse of 118 beats/min. D. Client with a respiratory rate of 6 breaths/min.

Correct Answer is D

Explanation

A. A blood pressure of 90/50 mm Hg is concerning, but it is less urgent than severe respiratory depression. The nurse should still assess this client promptly.

B. A temperature of 96° F (35.6° C) is mildly low and should be addressed, but it is not as critical as a severely low respiratory rate.

C. A pulse of 118 beats/min is elevated and may require monitoring, but it does not pose as immediate a threat as respiratory depression.

D. A respiratory rate of 6 breaths/min is critically low, which may indicate respiratory depression, particularly after anesthesia. Immediate assessment and intervention are needed to ensure adequate oxygenation and ventilation.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with genital herpes has painful blisters on her vulva. After teaching the client self-care measures, which statement indicates the need for further education?

Correct Answer is C

Explanation

The post anesthesia care unit (PACU) charge nurse notes vital signs on four postoperative clients. Which client would the nurse assess first?

Correct Answer is D

Explanation

The nurse is caring for a client who has frequent gastric pain and dyspepsia. Which procedure would the nurse expect the health care provider to order to make an accurate diagnosis?

After providing discharge teaching, a nurse assesses the client's understanding regarding increased risk for metabolic alkalosis. Which statement indicates that the client needs additional teaching?

The nurse assesses a client who just returned to the recovery area after undergoing a balloon angioplasty to improve circulation to the left leg. What assessment finding is the most concerning?

A client who has benign prostatic hyperplasia (BPH) with urinary retention is admitted to the hospital with elevated blood urea nitrogen (BUN) and creatinine levels. Which prescribed therapy should the nurse implement first?

A client who is on the progressive care unit develops atrial flutter, rate 150 with dyspnea, shortness of breath and chest pain. Which action that is included in the hospital dysrhythmia protocol should the nurse do first?

A client is discharged to home after a modified radical mastectomy with two drainage tubes. Which statement by the client would indicate that further teaching is needed?

A nurse assesses a client with tachycardia. Which clinical manifestation requires immediate intervention by the nurse?

A 36-yr-old client who has a diagnosis of fibrocystic breast changes calls the nurse in the clinic reporting symptoms. Which information is likely to change the treatment plan?