A 1000-mL dose of lactated Ringer's solution is to be infused in 8 hours. The drop factor for the tubing is 10 gtt/mL. How many drops per minute should the nurse administer?

• A.125 gtt/min
• B.48 gtt/min
• C.20 gtt/min
• D.21 gtt/min

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A child becomes neutropenic and is placed on protective isolation. The purpose of protective isolation is to:

• A.Protect the child from infection
• B.Provide the child with privacy
• C.Protect the family from curious visitors
• D.Isolate the child from other clients and the nursing staff

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An obstructing stone in the renal pelvis or upper ureter causes:

• A.Radiating pain into the urethra with labia pain experienced in females or testicular pain in males
• B.Urinary frequency and dysuria
• C.Severe flank and abdominal pain with nausea, vomiting, diaphoresis, and pallor
• D.Dull, aching, back pain

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A 17-year-old client has a T-4 spinal cord injury. At present, he is learning to catheterize himself. When he says, "This is too much trouble. I would rather just have a Foley.'' An appropriate response for the RN teaching him would be:

• A."I know. It is a lot to learn. In the long run, though, you will be able to reduce infections if you do an intermittent catheterization program.''
• B."It is not too much trouble. This is the best way to manage urination.''
• C."OK. I'll ask your physician if we can replace the Foley.''
• D."You need to learn this because your doctor ordered it.''

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A postoperative TURP client is ordered continuous bladder irrigations. Later in the evening on the first postoperative day, he complains of increasing suprapubic pain. When assessing the client, the nurse notes diminished flow of bloody urine and several large blood clots in the drainage tubing. Which one of the following should be the initial nursing intervention?

• A.Call the physician about the problem.
• B.Irrigate the Foley catheter.
• C.Change the Foley catheter.
• D.Administer a prescribed narcotic analgesic.

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