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NCLEX-RN · Question #808

NCLEX-RN Question #808: Real Exam Question with Answer & Explanation

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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

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