A nurse is caring for a client who is 6hrs 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.
Check the tubing for kinks.
Notify the provider.
Adjust the rate of the bladder irrigant.
The Correct Answer is B
A. Irrigating the catheter may be necessary, but the nurse should first assess for a simpler cause of the obstruction, such as a kink.
B. Checking for kinks is the priority, as it is a common cause of catheter obstruction and can be easily corrected.
C. Notifying the provider is unnecessary unless troubleshooting measures fail to resolve the issue.
D. Adjusting the bladder irrigant rate may be considered, but only after ensuring the tubing is free from kinks.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Pain assessment and management are a priority in renal colic due to the severe discomfort it causes, and prompt treatment is necessary.
B. Monitoring urinary output is important but is secondary to immediate pain management.
C. Safety during ambulation is necessary, but assessing and managing pain takes precedence in an acute setting.
D. Increasing fluid intake can help flush out stones but is typically addressed after pain management.
Correct Answer is D
Explanation
A. While sugar can raise blood glucose, it’s often not the most practical or readily available option in a clinical setting.
B. Graham crackers can be useful for longer-term glucose control but might not act as quickly as a liquid option.
C. Diet soda does not contain sugar and will not raise blood glucose levels.
D. Skim milk provides carbohydrates that are quickly absorbed, making it an effective choice for treating mild hypoglycemia.
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