The nurse is planning care for client who weighs70 kg client and ...

[Metfan725]

The nurse is planning care for client who weighs70 kg client and is post-op day 1 after spinal fusion surgery. Which is an appropriate outcome for this client?
 
  A) The client will remain prone position.
  B) The client will maintain urine output at 20 ml per hour.
  C) The client will use the incentive spirometer every 2 hours.
  D) The client will void 12 hours after surgery.

Question 2

During a home visit, the nurse evaluates teaching provide to a client with type 1 diabetes mellitus on the ability to prepare an insulin injection.
 
  List the order in which the client prepared the injection that indicates teaching has been effective.
  A) Wipe the selected skin site with alcohol and wait for it to dry.
  B) Fill the syringe with an amount of air equal to the number of units of insulin, and insert the needle into the vial.
  C) Insert the insulin.
  D) Push air into the vial, invert the vial, and withdraw the prescribed units of insulin.
  E) Pinch up a fold of skin, and insert the needle into the tissue.
  F) Withdraw the needle and apply firm pressure to the site for a few seconds.

[Kjones0604]

Answer to Question 1

Answer: C

An appropriate outcome for this client is the use of an incentive spirometer every 2 hours. The client is not expected to remain in a prone position. Urine output should be at least 30 mL per hour and the client is expected to void within 8 hours of surgery.

Answer to Question 2

Answer: B, D, A, E, C, F

The correct order, which indicates effective client teaching, is: fill the syringe with an amount of air equal to the number of units of insulin, and insert the needle into the vial; push air into the vial, invert the vial, and withdraw the prescribed units of insulin; wipe the selected skin site with alcohol and wait for it to dry; pinch up a fold of skin, and insert the needle into the tissue; insert the insulin; withdraw the needle and apply firm pressure to the site for a few seconds.