A nurse is caring for a client who has paraplegia following an automobile accident. The client is on an intermittent urinary catheterization program. Which of the following findings indicates the need for catheterization?
Urge incontinence
Weight gain
Rectal distention
Dribbling of urine
The Correct Answer is D
A. Urge incontinence may occur but is not necessarily an indicator for immediate catheterization in a paraplegic patient, as they may lack bladder control.
B. Weight gain is unrelated to the need for catheterization and may indicate other issues like fluid retention.
C. Rectal distention relates to bowel function, not bladder function, and does not indicate the need for catheterization.
D. Dribbling of urine can suggest bladder overfilling and is an indication that the bladder needs emptying through catheterization to prevent urinary retention complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Urge incontinence may occur but is not necessarily an indicator for immediate catheterization in a paraplegic patient, as they may lack bladder control.
B. Weight gain is unrelated to the need for catheterization and may indicate other issues like fluid retention.
C. Rectal distention relates to bowel function, not bladder function, and does not indicate the need for catheterization.
D. Dribbling of urine can suggest bladder overfilling and is an indication that the bladder needs emptying through catheterization to prevent urinary retention complications.
Correct Answer is ["2.5"]
Explanation
To calculate the correct dosage of liquid famotidine, the nurse needs to use the formula: (desired dose / available dose) x available volume. In this case, the desired dose is 20 mg, and the available dose is 40 mg in 5 mL. Using the formula, the calculation would be: (20 mg / 40 mg) x 5 mL = 0.5 x 5 mL = 2.5 mL. Therefore, the nurse should administer 2.5 mL of liquid famotidine every 6 hours to the client with GERD.
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