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. While durable power of attorney may come into effect if the client becomes incapacitated, it specifically pertains to healthcare decision-making rather than self- care activities.
B. Durable power of attorney for healthcare decisions is enforceable when the client is unable to make or communicate their own healthcare decisions.
C. Terminal illness may be a factor in the decision-making process, but durable power of attorney is not contingent upon terminal illness.
D. Refusal of treatment is a separate issue from durable power of attorney and does not directly relate to the enforceability of a healthcare proxy.

Correct Answer is ["400"]

Explanation

To solve this problem, we need to apply the following formula:

Dose (mg) = Dose (mg/kg/day) x Weight (kg) / Frequency Plugging in the given values, we get:

Dose (mg) = 80 x 20 / 4 Dose (mg) = 400

Therefore, the nurse should administer 400 mg of cefoxitin per dose to the child.

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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 providing information to a client about durable power of attorney. The nurse should include that durable power of attorney is enforceable under which of the following conditions?

Correct Answer is B

Explanation

A nurse is preparing to administer cefoxitin 80 mg/kg/day IV every 6 hr to a 6-year-old child who weighs 20 kg. How many mg should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["400"]

Explanation

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