A 60 year-old male client had a hernia repair in an outpatient surgery clinic. He is awake and alert, but has not been able to void since he returned from surgery 6 hours ago. He received 1000 mL of IV fluid. Which action would be most likely to help him void?

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Question 1 of 5

A 60 year-old male client had a hernia repair in an outpatient surgery clinic. He is awake and alert, but has not been able to void since he returned from surgery 6 hours ago. He received 1000 mL of IV fluid. Which action would be most likely to help him void?

Correct Answer: C

Rationale: Assisting him to stand by the bed is most likely to help voiding. Gravity aids bladder emptying post-surgery, per urological nursing. Water adds volume, Credé's risks injury, waiting delays. C leverages physiology.

Question 2 of 5

A school nurse has a 10 year-old child with a history of epilepsy with tonic-clonic seizures attending classes regularly. The school nurse should inform the teacher that if the child experiences a seizure in the classroom, the most important action to take during the seizure would be to

Correct Answer: D

Rationale: Placing hands or a blanket under the head is most important during a seizure. It prevents injury, per epilepsy care standards, a priority in tonic-clonic events. Moving objects , noting , and privacy follow. D ensures immediate safety.

Question 3 of 5

The nurse is caring for a client with a chest tube. On the second postoperative day, the chest tube accidentally disconnects from the drainage tube. The first action the nurse should take is

Correct Answer: D

Rationale: Clamping prevents air entry into the pleural space, reducing pneumothorax risk until the system is reconnected.

Question 4 of 5

A client is waiting to have an intravenous pyelogram (IVP). The most important information to be obtained by the nurse prior to the procedure is

Correct Answer: B

Rationale: Allergies to iodine or shellfish contraindicate IVP contrast, preventing severe reactions.

Question 5 of 5

When providing discharge teaching to a client with asthma, the nurse will warn against the use of which of the following over-the-counter medications?

Correct Answer: B

Rationale: Aspirin can trigger asthma exacerbations in sensitive individuals.

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