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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Placing the client back in bed during a seizure could lead to injury.
Choice B rationale:
Placing the client on his side, specifically the left side, allows for the tongue to fall forward, preventing aspiration.
Choice C rationale:
Holding the client’s arms and legs from moving could cause harm to the client or nurse.
Choice D rationale:
Inserting a tongue blade in the client’s mouth could cause injury to the client’s oral cavity.
Correct Answer is A
Explanation
Choice A rationale:
Aspirin is given to clients with a history of myocardial infarction due to its antiplatelet aggregate properties. It prevents blood clots from forming, which can block the coronary arteries and cause a heart attack.
Choice B rationale:
While aspirin does have anti-inflammatory properties, this is not the primary reason it is given to clients with a history of myocardial infarction.
Choice C rationale:
Aspirin does have analgesic properties, but this is not the primary reason it is given to clients with a history of myocardial infarction.
Choice D rationale:
Aspirin does have antipyretic properties, but this is not the primary reason it is given to clients with a history of myocardial infarction.
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