A nurse is caring for a client who is 6 hr postoperative following abdominal surgery and is having difficulty voiding. Which of the following actions should the nurse take?

Allow the client to hear running water while attempting to void.

Provide the client a bedpan while lying supine.

Encourage fluid intake up to 1,000 mL daily.

Insert an indwelling urinary catheter and connect it to gravity drainage.

Answer and Explanation

The Correct Answer is C

A. While this technique can sometimes be helpful, it's not the first-line intervention for postoperative urinary retention. Encouraging fluids is a more fundamental step.

B.   Lying supine may make it more difficult for the client to void. Sitting upright or ambulating to the bathroom may be more effective.
C.   Encouraging fluids helps maintain adequate urine output, which is essential for preventing urinary retention after surgery. Dehydration can worsen the difficulty voiding.
D.   Catheterization should be considered only after other interventions to promote voiding have been attempted and failed, as it carries the risk of infection and discomfort.

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Correct Answer is B

Explanation

A. Social workers typically assist with psychosocial issues, resource management, and support services. While important, they may not have the specialized skills required for teaching eating utensil use.

B. Occupational therapists specialize in helping individuals regain the ability to perform activities of daily living, including eating, after injuries such as traumatic brain injury.
C. Speech-language pathologists focus on communication and swallowing disorders.

While they may be involved in therapy for clients with traumatic brain injury, their primary focus is not on teaching utensil use.
D. Physical therapists focus on mobility, strength, and function. While they may assist with overall rehabilitation after a traumatic brain injury, they are not specifically trained in teaching eating skills.

A. When documenting the medication administration B. Before selecting the medication container C. While removing medication from the container D. When providing client education about the medication E. At the client's bedside before administering the medication

Correct Answer is ["B","C","E"]

Explanation

A. Comparing the medication administration record with the medication container should occur before documentation to ensure accuracy.
B. This step ensures that the nurse is administering the correct medication to the client.
C. Comparing the medication against the administration record while removing it from the container helps prevent errors.
D. While important, this step does not directly involve comparing the medication container with the administration record.
E. Verifying the medication at the bedside ensures the right medication is given to the right patient at the right time.

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A nurse is caring for a client who is 6 hr postoperative following abdominal surgery and is having difficulty voiding. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a traumatic brain injury and needs to relearn how to use eating utensils. The nurse should refer the client to which of the following members of the interprofessional team?

Correct Answer is B

Explanation

A nurse is preparing to administer prescribed medications to a client. According to the rights of medication administration, when should the nurse compare the medication administration record against the medication container? (Select all that apply.)

Correct Answer is ["B","C","E"]

Explanation

A nurse enters a client's room to perform a focused assessment. Which of the following client information should the nurse use to properly identify the client?

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A nurse is caring for a client who is 6 hr postoperative following abdominal surgery and is having difficulty voiding. Which of the following actions should the nurse take?

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