NCLEX-RN · Question #808
A 35-year-old client has returned to her room following surgery on her right femur. She has an IV of D5 in one half normal saline infusing at 125 mL/hr and is receiving morphine sulfate 10-15 mg IM…
The correct answer is C. Report to the surgeon if the client is unable to void within 8 hours of surgery. (A) Provision of food and fluid promotes bowel elimination. Nutritional needs postoperatively are determined by the physician, not the client. (B) Increasing IV fluids postoperatively will not cause a clientto void. Any change in rate of administration of IV fluids should be…
Question
A 35-year-old client has returned to her room following surgery on her right femur. She has an IV of D5 in one half normal saline infusing at 125 mL/hr and is receiving morphine sulfate 10-15 mg IM q4h prn for pain. She last voided 51/2 hours ago when she was given her preoperative medication. In monitoring and promoting return of urinary function after surgery, the nurse would:
Options
- AProvide food and fluids at the client's request
- BMaintain IV, increasing the rate hourly until the client voids
- CReport to the surgeon if the client is unable to void within 8 hours of surgery
- DHold morphine sulfate injections for pain until the client voids, explaining to her that morphine
How the community answered
(35 responses)- A6% (2)
- C91% (32)
- D3% (1)
Explanation
(A) Provision of food and fluid promotes bowel elimination. Nutritional needs postoperatively are determined by the physician, not the client. (B) Increasing IV fluids postoperatively will not cause a clientto void. Any change in rate of administration of IV fluids should be determined by the physician. (C) The postoperative client with normal kidney function who cannot void 8 hours after surgery is retaining urine. The client may need catheterization or medication. The physician must provide orders for both as necessary. (D) Although morphine sulfate can cause urinary retention, withholding pain medication will not ensure that the client will void. The client with uncontrolled pain will probably not be able to void.
Topics
Community Discussion
No community discussion yet for this question.