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Download Exam 1: NSG4100 / NSG 4100 Nursing Practice - Adult Health III Review| Actual Questions wi and more Exams Nursing in PDF only on Docsity!
Exami,- 1 :i,-NSG4100i,-/i,-NSGi,- 4100 i,-Nursingi,-Practicei,--i,-
Adulti,-Healthi,-IIIi,-Review|i,-Actuali,-Questionsi,-withi,-
Verifiedi,-Answers|i,-Gradei,-A|i,-100%i,-Correcti,-|Latesti,-
2025/i,- 2026 i,-Update|i,-Galen.
Thei,-nursei,-isi,-workingi,-oni,-thei,-renali,-transplanti,-unit.i,-Toi,-reducei,-thei,-
riski,-ofi,-infectioni,-ini,-ai,-clienti,-withi,-ai,-transplantedi,-kidney,i,-iti,-isi,-
imperativei,-fori,-thei,-nursei,-toi,-takei,-whati,-action?
A.i,-Washi,-handsi,-carefullyi,-andi,-frequently.
B.i,-Ensurei,-immediatei,-functioni,-ofi,-thei,-donatedi,-kidney.
C.i,-Instructi,-thei,-clienti,-toi,-weari,-ai,-facei,-mask.
D.i,-Bari,-visitorsi,-fromi,-thei,-client'si,-room.i,-i,- i,-A.i,-Washi,-handsi,-carefullyi,-
andi,-frequently.
Thei,-nursei,-isi,-caringi,-fori,-ai,-clienti,-receivingi,-hemodialysisi,-threei,-timesi,-
weekly.i,-Thei,-clienti,-hasi,-hadi,-surgeryi,-toi,-formi,-ani,-arteriovenousi,-
fistula.i,-Whati,-isi,-mosti,-importanti,-fori,-thei,-nursei,-toi,-bei,-awarei,-ofi,-wheni,-
providingi,-carei,-fori,-thisi,-client?
A.i,-Usingi,-ai,-stethoscopei,-fori,-auscultatingi,-thei,-fistulai,-isi,-
contraindicated
B.i,-Thei,-clienti,-feelsi,-besti,-immediatelyi,-afteri,-thei,-dialysisi,-treatment
C.i,-Takingi,-ai,-BPi,-readingi,-oni,-thei,-affectedi,-armi,-cani,-damagei,-thei,-fistula
D.i,-Thei,-clienti,-shouldi,-noti,-feeli,-paini,-duringi,-initiationi,-ofi,-dialysisi,-i,- i,-
C.i,-Takingi,-ai,-BPi,-readingi,-oni,-thei,-affectedi,-armi,-cani,-damagei,-thei,-fistula
Ai,-clienti,-hasi,-ai,-glomerulari,-filtrationi,-ratei,-(GFR)i,-ofi,- 43 i,-mL/min/1.73i,-
m?.i,-Basedi,-oni,-thisi,-GFR,i,-thei,-nursei,-interpretsi,-thati,-thei,-client'si,-
chronici,-kidneyi,-diseasei,-isi,-ati,-whati,-stage?
A.i,-Stagei,- 1
B.i,-Stagei,- 2
C.i,-Stagei,- 3
D.i,-Stagei,- 4 i,-i,- i,-C.i,-Stagei,- 3
Ani,-inpatienti,-clienti,-withi,-acutei,-kidneyi,-injuryi,-(AKI)i,-hasi,-moderatei,-
edemai,-toi,-bothi,-legs.
Whati,-resultingi,-skini,-conditionsi,-wouldi,-increasei,-thei,-client'si,-
likelihoodi,-ofi,-skini,-breakdown?i,-Selecti,-alli,-thati,-apply.
A.i,-Atopici,-dermatitis
B.i,-Pruritus
C.i,-Psoriasis
D.i,-Urticaria
D.i,-Ai,-clienti,-withi,-severei,-chronici,-obstructivei,-pulmonaryi,-diseasei,-i,- i,-
B.i,-Ai,-clienti,-withi,-diabetesi,-mellitusi,-andi,-poorlyi,-controlledi,-
hypertension
Thei,-nursei,-isi,-caringi,-fori,-ai,-clienti,-postoperativei,-dayi,- 4 i,-followingi,-ai,-
kidneyi,-transplant.i,-Wheni,-assessingi,-fori,-potentiali,-signsi,-andi,-
symptomsi,-ofi,-rejection,i,-whati,-assessmenti,-shouldi,-thei,-nursei,-
prioritize?
A.i,-Assessmenti,-ofi,-thei,-quantityi,-ofi,-thei,-client'si,-urinei,-output
B.i,-Assessmenti,-ofi,-thei,-client'si,-incision
C.i,-Assessmenti,-ofi,-thei,-client'si,-abdominali,-girth
D.i,-Assessmenti,-fori,-flanki,-ori,-abdominali,-paini,-i,- i,-A.i,-Assessmenti,-ofi,-
thei,-quantityi,-ofi,-thei,-client'si,-urinei,-output
Thei,-nursei,-isi,-caringi,-fori,-ai,-clienti,-ini,-acutei,-kidneyi,-injuryi,-(AKI).i,-Whichi,-
complicationi,-wouldi,-mosti,-clearlyi,-warranti,-thei,-administrationi,-ofi,-
polystyrenei,-sulfonate?
A.i,-Hypernatremia
B.i,-Hypomagnesemia
C.i,-Hyperkalemia
D.i,-Hypercalcemiai,-i,- i,-C.i,-Hyperkalemia
Thei,-nursei,-isi,-caringi,-fori,-ai,-clienti,-whosei,-acutei,-kidneyi,-injuryi,-(AKI)i,-
resultedi,-fromi,-ai,-prerenali,-cause.i,-Whichi,-conditioni,-mosti,-likelyi,-
causedi,-thisi,-client'si,-healthi,-problem?
A.i,-Burns
B.i,-Glomerulonephritis
C.i,-Ureterolithiasis
D.i,-Pregnancyi,-i,- i,-A.i,-Burns
Thei,-nursei,-isi,-assessingi,-ai,-clienti,-suspectedi,-ofi,-havingi,-developedi,-
acutei,-glomerulonephritis.i,-Thei,-nursei,-shouldi,-expecti,-toi,-addressi,-
whati,-clinicali,-manifestationi,-thati,-isi,-characteristici,-ofi,-thisi,-healthi,-
problem?
A.i,-Hematuria
B.i,-Precipitousi,-decreasei,-ini,-serumi,-creatininei,-levels
C.i,-Hypotensioni,-unresolvedi,-byi,-fluidi,-administration
D.i,-Glucosuriai,-i,- i,-A.i,-Hematuria
Thei,-nursei,-isi,-caringi,-fori,-ani,-acutelyi,-illi,-client.i,-Whati,-assessmenti,-
findingi,-shouldi,-prompti,-thei,-nursei,-toi,-informi,-thei,-healthi,-carei,-
Ai,-clienti,-withi,-diabetici,-nephropathyi,-hasi,-end-stagei,-renali,-diseasei,-
andi,-isi,-startingi,-dialysis.i,-Whati,-shouldi,-thei,-nursei,-teachi,-thei,-clienti,-
abouti,-hemodialysis?
A.i,-"Hemodialysisi,-isi,-ai,-treatmenti,-optioni,-thati,-isi,-usuallyi,-requiredi,-
threei,-timesi,-ai,-week."
B.i,-"Hemodialysisi,-isi,-ai,-programi,-thati,-willi,-requirei,-youi,-toi,-commiti,-toi,-
dailyi,-treatment."
C.i,-"Thisi,-willi,-requirei,-youi,-toi,-havei,-surgeryi,-andi,-ai,-catheteri,-willi,-needi,-
toi,-bei,-insertedi,-intoi,-youri,-abdomen."
D.i,-"Hemodialysisi,-isi,-ai,-treatmenti,-thati,-isi,-usedi,-fori,-ai,-fewi,-monthsi,-
untili,-youri,-kidneyi,-healsi,-andi,-startsi,-toi,-producei,-urinei,-again."i,-i,- i,-A.i,-
"Hemodialysisi,-isi,-ai,-treatmenti,-optioni,-thati,-isi,-usuallyi,-requiredi,-threei,-
timesi,-ai,-week."
Ai,-clienti,-withi,-end-stagei,-renali,-diseasei,-receivesi,-continuousi,-
ambulatoryi,-peritoneali,-dialysis.i,-Thei,-nursei,-observesi,-thati,-thei,-
dialysatei,-drainagei,-fluidi,-isi,-cloudy.i,-Whati,-isi,-thei,-nurse'si,-mosti,-
appropriatei,-action?
A.i,-Informi,-thei,-healthi,-carei,-provideri,-andi,-assessi,-thei,-clienti,-fori,-signsi,-
ofi,-infection.
B.i,-Flushi,-thei,-peritoneali,-catheteri,-withi,-normali,-saline.
C.i,-Removei,-thei,-catheteri,-promptlyi,-andi,-havei,-thei,-catheteri,-tipi,-
cultured.
D.i,-Administeri,-ai,-bolusi,-ofi,-IVi,-normali,-salinei,-asi,-prescribed.i,-i,- i,-A.i,-
Informi,-thei,-healthi,-carei,-provideri,-andi,-assessi,-thei,-clienti,-fori,-signsi,-ofi,-
infection.
Thei,-nursei,-isi,-planningi,-clienti,-teachingi,-fori,-ai,-clienti,-withi,-end-stagei,-
kidneyi,-diseasei,-whoi,-isi,-scheduledi,-fori,-thei,-creationi,-ofi,-ai,-fistula.i,-Thei,-
nursei,-shouldi,-teachi,-thei,-clienti,-whati,-informationi,-abouti,-thei,-fistula?
A.i,-"Ai,-veini,-andi,-ani,-arteryi,-ini,-youri,-armi,-willi,-bei,-attachedi,-surgically."
B.i,-"Thei,-armi,-shouldi,-bei,-immobilizedi,-fori,- 4 i,-toi,- 6 i,-days."
C.i,-"Onei,-needlei,-willi,-bei,-insertedi,-intoi,-thei,-fistulai,-fori,-eachi,-dialysisi,-
treatment."
D.i,-"Thei,-fistulai,-cani,-bei,-usedi,- 5 i,-toi,- 7 i,-daysi,-afteri,-thei,-surgeryi,-fori,-
dialysisi,-treatment."i,-i,- i,-A.i,-"Ai,-veini,-andi,-ani,-arteryi,-ini,-youri,-armi,-willi,-
bei,-attachedi,-surgically."
Ai,-clienti,-withi,-end-stagei,-kidneyi,-diseasei,-isi,-scheduledi,-toi,-begini,-
hemodialysis.i,-Thei,-nursei,-isi,-workingi,-withi,-thei,-clienti,-toi,-adapti,-thei,-
client'si,-dieti,-toi,-maximizei,-thei,-therapeutici,-effecti,-andi,-minimizei,-thei,-
risksi,-ofi,-complications.i,-Thei,-client'si,-dieti,-shouldi,-includei,-whichi,-ofi,-
thei,-followingi,-modifications?i,-Selecti,-alli,-thati,-apply.
acutei,-kidneyi,-injury.i,-Thei,-clienti,-isi,-hemodynamicallyi,-unstable,i,-andi,-
renali,-replacementi,-therapyi,-isi,-neededi,-toi,-managei,-thei,-client'si,-
hypervolemiai,-andi,-hyperkalemia.i,-Whichi,-ofi,-thei,-followingi,-therapiesi,-
willi,-thei,-client'si,-hemodynamici,-statusi,-besti,-tolerate?
A.i,-Hemodialysis
B.i,-Peritoneali,-dialysis
C.i,-Continuousi,-venovenousi,-hemodialysisi,-(CVVHD)
D.i,-Plasmapheresisi,-i,- i,-C.i,-Continuousi,-venovenousi,-hemodialysisi,-
(CVVHD)
Ai,-clienti,-hasi,-presentedi,-withi,-signsi,-andi,-symptomsi,-thati,-arei,-
characteristici,-ofi,-acutei,-kidneyi,-injury,i,-buti,-preliminaryi,-assessmenti,-
revealsi,-noi,-obviousi,-riski,-factorsi,-fori,-thisi,-healthi,-problem.i,-Thei,-nursei,-
shouldi,-recognizei,-thei,-needi,-toi,-interviewi,-thei,-clienti,-abouti,-whati,-
priorityi,-topic?
A.i,-Typicali,-diet
B.i,-Allergyi,-status
C.i,-Psychosociali,-stressors
D.i,-Currenti,-medicationi,-usei,-i,- i,-D.i,-Currenti,-medicationi,-use
Ani,-olderi,-adulti,-clienti,-diagnosedi,-withi,-canceri,-isi,-admittedi,-toi,-thei,-
oncologyi,-uniti,-fori,-surgicali,-treatment.i,-Thei,-clienti,-hasi,-beeni,-oni,-
chemotherapeutici,-agentsi,-toi,-decreasei,-tumori,-sizei,-priori,-toi,-thei,-
plannedi,-surgery.i,-Thei,-nursei,-caringi,-fori,-thei,-clienti,-isi,-awarei,-thati,-
whati,-precipitatingi,-factorsi,-ini,-thisi,-clienti,-mayi,-contributei,-toi,-acutei,-
kidneyi,-injuryi,-(AKI)?i,-Selecti,-alli,-thati,-apply.
A.i,-Anxietyi,-andi,-agitation
B.i,-Lowi,-bodyi,-massi,-indexi,-(BMI)
C.i,-Age-relatedi,-physiologici,-changes
D.i,-Chronici,-systemici,-disease
E.i,-Nothingi,-byi,-mouthi,-(NPO)i,-statusi,-i,- i,-C.i,-Age-relatedi,-physiologici,-
changes
D.i,-Chronici,-systemici,-disease
E.i,-Nothingi,-byi,-mouthi,-(NPO)i,-status
Ai,-clienti,-isi,-beingi,-treatedi,-fori,-AKIi,-andi,-thei,-clienti,-dailyi,-weightsi,-havei,-
beeni,-ordered.i,-Thei,-nursei,-notesi,-ai,-weighti,-gaini,-ofi,- 3 i,-poundsi,-(1.4i,-kg)i,-
overi,-thei,-pasti,- 48 i,-hours.i,-Whati,-nursingi,-diagnosisi,-isi,-suggestedi,-byi,-
thisi,-assessmenti,-finding?
A.i,-Imbalancedi,-nutrition:i,-Morei,-thani,-bodyi,-requirements
B.i,-Excessi,-fluidi,-volume
D.i,-Thei,-clienti,-isi,-likelyi,-toi,-respondi,-favorablyi,-toi,-lithotripsyi,-treatmenti,-
ofi,-thei,-cysts.i,-i,- i,-B.i,-Thei,-client'si,-diseasei,-isi,-incurablei,-andi,-thei,-
nurse'si,-interventionsi,-willi,-bei,-supportive.
Thei,-nursei,-isi,-providingi,-ai,-healthi,-educationi,-workshopi,-toi,-ai,-groupi,-ofi,-
adultsi,-focusingi,-oni,-canceri,-prevention.i,-Thei,-nursei,-shouldi,-
emphasizei,-whati,-actioni,-ini,-orderi,-toi,-reducei,-participantsi,-risksi,-ofi,-
renali,-carcinoma?
A.i,-Avoidingi,-heavyi,-alcoholi,-use
B.i,-Controli,-ofi,-sodiumi,-intake
C.i,-Smokingi,-cessation
D.i,-Adherencei,-toi,-recommendedi,-immunizationi,-schedulesi,-i,- i,-C.i,-
Smokingi,-cessation
Thei,-nursei,-performingi,-thei,-healthi,-interviewi,-ofi,-ai,-clienti,-withi,-ai,-newi,-
onseti,-ofi,-periorbitali,-edemai,-hasi,-completedi,-ai,-genogram,i,-notingi,-
thei,-healthi,-historyi,-ofi,-thei,-client'si,-siblings,i,-parents,i,-andi,-
grandparents.i,-Thisi,-assessmenti,-addressesi,-thei,-client'si,-riski,-ofi,-whati,-
kidneyi,-disorder?
A.i,-Nephritici,-syndrome
B.i,-Acutei,-glomerulonephritis
C.i,-Nephrotici,-syndrome
D.i,-Polycystici,-kidneyi,-diseasei,-(PKD)i,-i,- i,-D.i,-Polycystici,-kidneyi,-
diseasei,-(PKD)
Ai,-clienti,-isi,-broughti,-toi,-thei,-renali,-uniti,-fromi,-thei,-PACUi,-statusi,-
postresectioni,-ofi,-ai,-renali,-tumor.i,-Whichi,-ofi,-thei,-followingi,-nursingi,-
actionsi,-shouldi,-thei,-nursei,-prioritizei,-ini,-thei,-carei,-ofi,-thisi,-client?
A.i,-Increasingi,-orali,-intake
B.i,-Managingi,-postoperativei,-pain
C.i,-Managingi,-dialysis
D.i,-Increasingi,-mobilityi,-i,- i,-B.i,-Managingi,-postoperativei,-pain
Ai,-nursei,-isi,-caringi,-fori,-ai,-clienti,-whoi,-isi,-ini,-thei,-diuresisi,-phasei,-ofi,-acutei,-
kidneyi,-injury.i,-Thei,-nursei,-shouldi,-closelyi,-monitori,-thei,-clienti,-fori,-whati,-
complicationi,-duringi,-thisi,-phase?
A.i,-Hypokalemia
B.i,-Hypocalcemia
C.i,-Dehydration
D.i,-Acutei,-flanki,-paini,-i,- i,-C.i,-Dehydration
B.i,-"Kidneyi,-transplantsi,-ini,-peoplesi,-youri,-agei,-arei,-asi,-successfuli,-asi,-
theyi,-arei,-ini,-youngeri,-clients."
C.i,-"Ii,-understandi,-youri,-hesitancyi,-toi,-commiti,-toi,-ai,-transplanti,-surgery.i,-
Successi,-isi,-relativelyi,-rare."
D.i,-"Havei,-youi,-talkedi,-thisi,-overi,-withi,-youri,-family?"i,-i,- i,-B.i,-"Kidneyi,-
transplantsi,-ini,-peoplesi,-youri,-agei,-arei,-asi,-successfuli,-asi,-theyi,-arei,-ini,-
youngeri,-clients."
Thei,-nursei,-hasi,-identifiedi,-thei,-nursingi,-diagnosisi,-ofi,-"Riski,-fori,-
Infection"i,-ini,-ai,-clienti,-whoi,-undergoesi,-peritoneali,-dialysis.i,-Whati,-
nursingi,-actioni,-besti,-addressesi,-thisi,-risk?
A.i,-Maintaini,-aseptici,-techniquei,-wheni,-administeringi,-dialysate.
B.i,-Washi,-thei,-skini,-surroundingi,-thei,-catheteri,-sitei,-withi,-soapi,-andi,-
wateri,-priori,-toi,-eachi,-exchange.
C.i,-Addi,-antibioticsi,-toi,-thei,-dialysatei,-asi,-prescribed.
D.i,-Administeri,-prophylactici,-antibioticsi,-byi,-mouthi,-ori,-IVi,-asi,-
prescribed.i,-i,- i,-A.i,-Maintaini,-aseptici,-techniquei,-wheni,-
administeringi,-dialysate.
Thei,-nursei,-isi,-caringi,-fori,-ai,-clienti,-whoi,-hasi,-returnedi,-toi,-thei,-
postsurgicali,-suitei,-afteri,-postanesthetici,-recoveryi,-fromi,-ai,-
nephrectomy.i,-Thei,-nurse'si,-mosti,-recenti,-assessmenti,-revealsi,-
increasedi,-sedation,i,-shortnessi,-ofi,-breath,i,-hypotension,i,-andi,-lowi,-
urinei,-outputi,-overi,-thei,-lasti,- 2 i,-hours.i,-Whati,-isi,-thei,-nurse'si,-besti,-
response?
A.i,-Assessi,-thei,-clienti,-fori,-signsi,-ofi,-bleedingi,-andi,-informi,-thei,-primaryi,-
provider.
B.i,-Performi,-ai,-fulli,-neurologicali,-assessmenti,-andi,-notifyi,-thei,-primaryi,-
carei,-provider.
C.i,-Increasei,-thei,-frequencyi,-ofi,-takingi,-vitali,-signs,i,-monitori,-urinei,-
output,i,-andi,-notifyi,-thei,-provider.
D.i,-Palpatei,-thei,-client'si,-torsoi,-bilaterallyi,-fori,-flanki,-paini,-andi,-notifyi,-
thei,-primaryi,-carei,-provider.i,-i,- i,-A.i,-Assessi,-thei,-clienti,-fori,-signsi,-ofi,-
bleedingi,-andi,-informi,-thei,-primaryi,-provider.
Thei,-criticali,-carei,-nursei,-isi,-monitoringi,-thei,-client'si,-urinei,-outputi,-andi,-
drainsi,-followingi,-renali,-surgery.i,-Whati,-shouldi,-thei,-nursei,-promptlyi,-
reporti,-toi,-thei,-primaryi,-carei,-provider?
A.i,-Increasedi,-paini,-oni,-movement
B.i,-Absencei,-ofi,-draini,-output
C.i,-Increasedi,-urinei,-output
D.i,-Blood-tingedi,-serosanguineousi,-draini,-outputi,-i,- i,-B.i,-Absencei,-ofi,-
draini,-output
client'si,-outputi,-fromi,-surgicali,-drains,i,-thei,-nursei,-shouldi,-physicallyi,-
assessi,-whati,-parameter(s)?i,-Selecti,-alli,-thati,-apply.
A.i,-Quantityi,-ofi,-output
B.i,-Colori,-ofi,-thei,-output
C.i,-Visiblei,-characteristicsi,-ofi,-thei,-output
D.i,-Specifici,-gravityi,-ofi,-thei,-output
E.i,-Potentiali,-hydrogeni,-(PH)i,-ofi,-thei,-outputi,-i,- i,-A.i,-Quantityi,-ofi,-output
B.i,-Colori,-ofi,-thei,-output
C.i,-Visiblei,-characteristicsi,-ofi,-thei,-output
Thei,-nursei,-isi,-caringi,-fori,-ai,-clienti,-afteri,-kidneyi,-surgery.i,-Wheni,-
assessingi,-fori,-bleeding,i,-whati,-assessmenti,-parameteri,-shouldi,-thei,-
nursei,-evaluate?
A.i,-Orali,-intake
B.i,-Paini,-intensity
C.i,-Leveli,-ofi,-consciousness
D.i,-Radiationi,-ofi,-paini,-i,- i,-C.i,-Leveli,-ofi,-consciousness
Ai,-nursei,-isi,-providingi,-educationi,-toi,-thei,-familyi,-ofi,-ai,-clienti,-beginningi,-
peritoneali,-dialysis.i,-Thei,-familyi,-aski,-questionsi,-concerningi,-catheteri,-
placementi,-andi,-stabilization.i,-Whichi,-informationi,-willi,-thei,-nursei,-
providei,-abouti,-thei,-cuffs?i,-Selecti,-alli,-thati,-apply.
A.i,-Thei,-cuffsi,-arei,-constructedi,-ofi,-Dacroni,-polyesteri,-material.
B.i,-Thei,-cuffsi,-willi,-helpi,-stabilizei,-thei,-catheter.
C.i,-Thei,-cuffsi,-preventi,-thei,-dialysatei,-fromi,-leaking.
D.i,-Thei,-cuffsi,-providei,-ai,-barrieri,-againsti,-microorganisms.
E.i,-Thei,-cuffsi,-willi,-absorbi,-thei,-dialysate.i,-i,- i,-A.i,-Thei,-cuffsi,-arei,-
constructedi,-ofi,-Dacroni,-polyesteri,-material.
B.i,-Thei,-cuffsi,-willi,-helpi,-stabilizei,-thei,-catheter.
C.i,-Thei,-cuffsi,-preventi,-thei,-dialysatei,-fromi,-leaking.
D.i,-Thei,-cuffsi,-providei,-ai,-barrieri,-againsti,-microorganisms.
Ai,-clienti,-withi,-chronici,-kidneyi,-diseasei,-isi,-completingi,-ani,-exchangei,-
duringi,-peritoneali,-dialysis.i,-Thei,-nursei,-observesi,-thati,-thei,-peritoneali,-
fluidi,-isi,-drainingi,-slowlyi,-andi,-thati,-thei,-client'si,-abdomeni,-isi,-increasingi,-
ini,-girth.i,-Whati,-isi,-thei,-nurse'si,-mosti,-appropriatei,-action?
A.i,-Advancei,-thei,-catheteri,- 2 i,-toi,- 4 i,-cmi,-furtheri,-intoi,-thei,-peritoneali,-
cavity.
B.i,-Repositioni,-thei,-clienti,-toi,-facilitatei,-drainage.
C.i,-Aspiratei,-fromi,-thei,-catheteri,-usingi,-ai,- 60 - mLi,-syringe.
