A nurse is caring for a client who is 5 hr postoperative following a transurethral resection of the prostate (TURP). The nurse notes that the client's indwelling urinary catheter has not drained in the past hour.

Which of the following actions should the nurse take first?

Irrigate the catheter.

Notify the provider.

Check the tubing for kinks.

Adjust the rate of the bladder irrigant.

Answer and Explanation

The Correct Answer is C

Choice A rationale:
Irrigating the catheter may be necessary, but it is not the first action to take.
Choice B rationale:
Notifying the provider is important, but there are actions the nurse can take first.
Choice C rationale:
Checking the tubing for kinks is the first action because it is a simple and non-invasive intervention.
Choice D rationale:
Adjusting the rate of the bladder irrigant may be necessary, but it is not the first action to take.

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Correct Answer is B

Explanation

Choice A rationale:
This statement describes a skin graft, not an escharotomy.
Choice B rationale:
An escharotomy involves making large incisions in the eschar (burned tissue) to relieve pressure and improve circulation to the area.
Choice C rationale:
This statement describes debridement, which is the removal of dead tissue, but it is not specific to an escharotomy.
Choice D rationale:
This statement describes a method of debridement, not an escharotomy.

A. Insulin detemir. B. Insulin glargine. C. NPH insulin. D. Regular insulin.

Correct Answer is D

Explanation

Choice A rationale:
This statement is incorrect. Insulin detemir is a long-acting insulin and is not typically used to treat diabetic ketoacidosis.
Choice B rationale:
This statement is incorrect. Insulin glargine is a long-acting insulin and is not typically used to treat diabetic ketoacidosis.
Choice C rationale:
This statement is incorrect. NPH insulin is an intermediate-acting insulin and is not typically used to treat diabetic ketoacidosis.
Choice D rationale:
This statement is correct. Regular insulin is a short-acting insulin and is typically used to treat diabetic ketoacidosis due to its rapid onset of action.

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A nurse is caring for a client who is 5 hr postoperative following a transurethral resection of the prostate (TURP). The nurse notes that the client's indwelling urinary catheter has not drained in the past hour. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a burn treatment center is caring for a client who is admitted with severe burns to both lower extremities and is scheduled for an escharotomy. The client's spouse asks the nurse what the procedure entails. Which of the following nursing statements is appropriate?

Correct Answer is B

Explanation

Correct Answer is D

Explanation

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A nurse is caring for a client who is 5 hr postoperative following a transurethral resection of the prostate (TURP). The nurse notes that the client's indwelling urinary catheter has not drained in the past hour.

Which of the following actions should the nurse take first?