A nurse is caring for a client who is 4 hr postoperative following a transurethral resection of the prostate (TURP). Which of the following is the priority finding for the nurse to report to the provider?
Emesis of 100 mL
Oral temperature of 37.5" C (99.5° F)
Pain level of 4 on a 0 to 10 rating scale
Thick, red-colored urine
The Correct Answer is D
a. Emesis of 100 mL: While emesis is a concern, the priority is to address potential complications related to the surgical procedure first.
b. Oral temperature of 37.5" C (99.5° F): This temperature is within a normal range, and it is not an immediate concern.
c. Pain level of 4 on a 0 to 10 rating scale: Pain is important to address, but the priority is to assess for potential complications such as bleeding or infection.
d. Thick, red-colored urine: This finding suggests the possibility of bleeding, which could be a complication of the TURP procedure. It is the priority finding to report to the provider for further evaluation.
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Related Questions
Correct Answer is A
Explanation
a. Provide humidified oxygen: Humidification helps prevent the drying of mucous membranes, making secretions more manageable and less tenacious. This is an acceptable method to thin
secretions in a client with a tracheostomy.
b. Prelubricate the suction catheter tip with sterile saline when suctioning the airway: While lubrication with sterile saline is a common practice during suctioning to reduce trauma to the airway, it does not directly address the tenacity of secretions.
c. Perform chest physiotherapy prior to suctioning: Chest physiotherapy is a technique used to mobilize respiratory secretions, but it may not directly address the tenacity of secretions.
d. Hyperventilate the client with 100% oxygen before suctioning the airway: Hyperventilation with 100% oxygen is not a routine practice and may lead to respiratory alkalosis. Providing
humidified oxygen is a more appropriate approach.
Correct Answer is C
Explanation
a. Circular, erythematous patches on the scalp: This description is more indicative of tinea capitis, a fungal infection affecting the scalp.
b. Recent exposure to poison ivy: Poison ivy exposure would result in a contact dermatitis rash, not tinea pedis.
c. Scaling and redness between the toes: Tinea pedis, also known as athlete's foot, commonly presents with scaling, redness, and itching between the toes.
d. A recent prescription for an antiseizure medication: Antiseizure medications are not associated with the development of tinea pedis.
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