A nurse plans care for a client with overflow incontinence. Which intervention should the nurse include in this client's plan of care to assist with elimination?

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Question 1 of 5

A nurse plans care for a client with overflow incontinence. Which intervention should the nurse include in this client's plan of care to assist with elimination?

Correct Answer: D

Rationale: Valsalva maneuver aids voiding in overflow incontinence when reflex arc is impaired.

Question 2 of 5

The nurse is preparing to administer the first dose of intravenous ceftriaxone (Rocephin) to a patient. When reviewing the patient's chart, the nurse notes that the patient previously experienced a rash when taking amoxicillin. What is the nurse's next action?

Correct Answer: A

Rationale: Penicillin allergy may cross-react with cephalosporins, so monitor closely after administration.

Question 3 of 5

The nurse is caring for a $70-\mathrm{kg}$ patient who is receiving gentamicin (Garamycin) $85 \mathrm{mg} 4$ times daily. The patient reports experiencing ringing in the ears. The nurse will contact the provider to discuss

Correct Answer: C

Rationale: Ringing suggests ototoxicity, requiring serum levels to assess gentamicin toxicity.

Question 4 of 5

The nurse is caring for a patient who develops marked edema and a low urine output as a result of heart failure. Which medication will the nurse expect the provider to order for this patient?

Correct Answer: B

Rationale: Furosemide rapidly removes fluid, ideal for acute heart failure with edema.

Question 5 of 5

Glucose reabsorption is most marked in which segment of the nephron?

Correct Answer: A

Rationale: The proximal tubule reabsorbs most of the filtered glucose.

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