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 B

Explanation

A. PaO2 below 70 mm Hg may indicate hypoxemia, not necessarily metabolic acidosis.
B. A pH below 7.35 is indicative of acidosis, supporting a diagnosis of metabolic acidosis if other findings align.
C. An elevated PaCO2 suggests respiratory acidosis, not metabolic acidosis.
D. HCO3 above 26 mEq/L suggests metabolic alkalosis; in metabolic acidosis, HCO3 is typically low.

A. Fasting blood glucose 148 mg/dL B. Casual blood glucose 190 mg/dl. C. HbA1c 6.5% D. 2 hr blood glucose 170 mg/dL

Correct Answer is A

Explanation

A. A fasting blood glucose level of 126 mg/dL or higher on two separate occasions meets the diagnostic criteria for diabetes.
B. A casual blood glucose level of 200 mg/dL or higher, along with symptoms of hyperglycemia, is required for diagnosis.
C. An HbA1c of 6.5% or higher can indicate diabetes, but it should be confirmed on a second test.
D. A 2-hour blood glucose of 200 mg/dL or higher during an oral glucose tolerance test is used to diagnose diabetes; 170 mg/dL does not meet this threshold.

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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

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