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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. This question assesses for glucose management under stress but does not specifically target autonomic neuropathy.
B. Painful ulcerations relate more to peripheral neuropathy rather than autonomic neuropathy.
C. Skin changes could be a result of diabetes but do not directly assess autonomic neuropathy.
D. Autonomic neuropathy can affect digestion, leading to symptoms such as bloating due to delayed gastric emptying (gastroparesis).

A. Give 15 grams of simple carbs at 3:00am B. Have a snack at bedtime. C. Increase the insulin dose. D. Do nothing, this is normal

Correct Answer is B

Explanation

A. Giving carbohydrates at 3:00 AM might prevent hypoglycemia temporarily but does not address the underlying issue.
B. Having a snack at bedtime helps prevent nighttime hypoglycemia, which can lead to rebound hyperglycemia, known as the Somogyi effect.
C. Increasing the insulin dose could exacerbate nocturnal hypoglycemia, worsening the Somogyi effect.
D. Doing nothing is inappropriate as the low 2:00 AM glucose level is a sign of the Somogyi effect.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which question during the assessment of a patient who has diabetes will help the nurse identify autonomic neuropathy?

Correct Answer is D

Explanation

The health care provider suspects the Somogyi effect in a 66-yr-old patient whose 2:00 AM blood glucose is 66 mg/dL. Which action will the nurse teach the patient to take?

Correct Answer is B

Explanation

A nurse is caring for a client who is postoperative following a transurethral resection of the prostate. Which of the following complications is the priority for the nurse to monitor for?

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?

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A client diagnosed with renal calculi is admitted to the medical unit with renal colic. Which interventions should the nurse implement the first?

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