A client has a continuous bladder irrigation running after ...

[P68T]

A client has a continuous bladder irrigation running after prostatectomy. During the shift, 600mL of one bag of irrigant is infused and 1500mL of the next bag has also infused.
 
  Upon draining the urine bag three times during the shift, the nurse measures the volumes emptied to be 800mL, 1,050mL, and 950mL. The nurse expects the volume out to be greater than the volume in and calculates the excess fluid to be which of the following? 1. 950mL
   2. 1000mL
   3. 700mL
   4. 250mL

Question 2

A patient with a compound fracture has been admitted through the emergency department and is scheduled for immediate surgery. Which of the following nursing diagnoses would be most appropriate in the immediate postoperative period?
 
  1. Impaired Transfer Ability
   2. Risk for Post-Trauma Syndrome
   3. Risk for Infection
   4. Risk for Falls

[Cheesycrackers]

Answer to Question 1

3. 700mL

Rationale:
The total infused is 600+1500=2,100mL. The total drained is 800+1050+950=2,800mL. The total, or true output, is 700mL greater than the input.

Answer to Question 2

3. Risk for Infection

Rationale:
All responses are potential diagnoses postoperatively, but risk for infection is the priority. The client with an open, compound fracture has multiple bone breaks penetrating through the skin and must be assessed and cared for vigilantly for signs of infection.

[P68T]

Excellent

[deja]

TYSM