A nurse is caring for a client in the clinic who has a distended bladder with discomfort over the area and a sense of fullness. Which of the following tests should the nurse expect the health care provider to order to determine if the client has urinary retention? (Select all that apply.)
Postvoid urine residual measurement
Blood urea nitrogen (BUN)
Cystourethrogram
Creatinine
Kidney, ureter, bladder (KUB) x-ray
Bladder scan
Correct Answer : A,E,F
Choice A reason: Postvoid urine residual measurement is a direct method to assess for urinary retention.
Choice B reason: Blood urea nitrogen (BUN) levels may indicate kidney function but not specifically urinary retention.
Choice C reason: A cystourethrogram is used to visualize the bladder and urethra, which may not be the first choice for assessing urinary retention.
Choice D reason: Creatinine levels indicate kidney function but not urinary retention.
Choice E reason: A kidney, ureter, bladder (KUB) x-ray can show the size of the bladder and may indicate retention.
Choice F reason: A bladder scan is a non-invasive way to measure the amount of urine in the bladder and assess for
retention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: A distended bladder can cause low back pain due to the pressure and stretching of the bladder wall, which is often related to a urinary disorder such as urinary retention or obstruction.
Choice B reason: A stress fracture is less likely to be the cause of low back pain associated with an inability to void and a distended bladder.
Choice C reason: Nerve root pain typically presents with radiating pain down the leg rather than low back pain associated with urinary symptoms.
Choice D reason: Renal cancer could potentially cause low back pain, but it would not typically cause an inability to void or a distended bladder without other significant symptoms.
Correct Answer is ["0.5"]
Explanation
Step 1: The total amount of digoxin required per dose is 125 mcg. We need to convert this to mg because the available tablets are in mg. We know that 1 mg = 1000 mcg, so 125 mcg = 125 ÷ 1000 mg = 0.125 mg.
Step 2: Each tablet contains 0.25 mg of digoxin.
Step 3: To find out how many tablets are needed, we divide the total amount required by the amount in each tablet. So, (0.125 mg ÷ 0.25 mg/tablet).
Step 4: The result is 0.5 tablets.
So, the nurse should administer 0.5 tablets per dose. This is already rounded to the nearest tenth.
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