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NCLEX Certification NCLEX-RN Question # 77 Topic 10 Discussion

NCLEX-RN Exam Topic 10 Question 77 Discussion:
Question #: 77
Topic #: 10

A 35-year-old client has returned to her room following surgery on her right femur. She has an IV of D5 in onehalf normal saline infusing at 125 mL/hr and is receiving morphine sulfate 10–15 mg IM q4h prn for pain. She last voided 51/2 hours ago when she was given her preoperative medication. In monitoring and promoting return of urinary function after surgery, the nurse would:


A.

Provide food and fluids at the client’s request


B.

Maintain IV, increasing the rate hourly until the client voids


C.

Report to the surgeon if the client is unable to void within 8 hours of surgery


D.

Hold morphine sulfate injections for pain until the client voids, explaining to her that morphine sulfate can cause urinary retention


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