A nurse is caring for a client who has undergone a transurethral prostatectomy. Following catheter removal, the nurse should inform the client that he should expect which of the following variations in the color of his urine?
Bright red
Pale pink
Bright yellow
Dark amber
The Correct Answer is B
A. Bright red urine would indicate active bleeding and is not an expected finding after catheter removal.
B. Pale pink urine is expected as some bleeding is normal following a transurethral prostatectomy.
C. Bright yellow urine is typical of normal, well-hydrated urine and is not expected immediately postoperatively.
D. Dark amber urine could indicate dehydration and is not typical following this procedure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Atelectasis is incorrect. Atelectasis refers to lung collapse, which presents as reduced breath sounds and hypoxemia, not abnormal chest movement during respiration.
B. Flail chest is correct. Flail chest is characterized by paradoxical chest movement where a segment of the chest wall moves inward during inspiration and outward during expiration.
C. Pneumothorax is incorrect. Pneumothorax would cause sudden chest pain and dyspnea, but does not cause paradoxical chest movement.
D. Hemothorax is incorrect. Hemothorax involves blood in the pleural space and would cause reduced breath sounds and signs of shock, but not paradoxical chest movement.
Correct Answer is B
Explanation
A. Blockage of the ET tube by the client's tongue would not typically result in asymmetric chest wall expansion.
B. If the ET tube has moved into the right main bronchus, it will cause more air to enter the right lung and less to the left, leading to decreased left-sided chest wall expansion.
C. Infection of the vocal cords is not related to the absence of chest wall expansion.
D. Passage of the ET tube into the esophagus would lead to the absence of breath sounds in both lungs, not just the left side.
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