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A nurse is caring for a client who is day post-op following a transurethral resection of the prostate (TURP) and has a continuous bladder irrigation in place. Which actions should the nurse take? (Select a that apply)

Add the amount of bladder irrigation to the total output

Notify the surgeon if the urine is bright red an appearance or has large clots

Use sterile technique when preparing the irrigation solution.

Contact the surgeon if the client reports a continual need to void.

Ensure the drainage tubing is patent and without obstruction.

Answer and Explanation

Correct Answer : A,B,E

A. The amount of irrigation fluid used must be added to the total output to accurately calculate fluid balance.

B. Bright red urine or large clots may indicate bleeding, which should be reported to the surgeon immediately.

C. Irrigation solution preparation does not require sterile technique; clean technique is sufficient for this task.

D. A continual need to void could be a normal post-op symptom, but if it persists or is severe, it should be investigated.

E. Ensuring the drainage tubing is patent and unobstructed is essential for proper urine flow and preventing complications.

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Correct Answer is D

Explanation

A. Weight loss is a common concern in clients with chronic kidney disease, but it is not the primary concern in this scenario.

B. Swelling in the legs may occur with renal dysfunction but is less concerning than abdominal tenderness, which is indicative of a possible peritoneal infection.

C. Itching in the upper chest may be a symptom of uremia, but abdominal tenderness is more urgent when ruling out a peritoneal infection.

D. Abdominal tenderness is a key sign of peritoneal infection, which requires immediate attention as it can lead to peritonitis.

A. Hematuria B. Weight loss C. Hypertension D. Increased urine output

Correct Answer is C

Explanation

A. Hematuria is not a typical finding after peritoneal dialysis, although it can occur in some clients with kidney disease.

B. Weight loss is not expected after dialysis; it is more likely to stabilize fluid balance and remove excess fluid.

C. Hypertension can be expected in clients with chronic kidney disease, as the kidneys play a key role in regulating blood pressure.

D. Increased urine output is not typically seen in clients with chronic kidney disease, especially after dialysis.

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A nurse is caring for a client who is day post-op following a transurethral resection of the prostate (TURP) and has a continuous bladder irrigation in place. Which actions should the nurse take? (Select a that apply)

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Naxlex Comprehensive Predictor Exams

A client has been admitted into the Dialysis unit to rule out a peritoneal infection. Which of the following clinical findings should the nurse be MOST concerned with when caring for this client?

Correct Answer is D

Explanation

A client with a past medical history of chronic kidney disease has just completed their daily peritoneal dialysis. Which of the following clinical findings should the nurse expect to find when assessing the client?

Correct Answer is C

Explanation

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A nurse is caring for a client who is day post-op following a transurethral resection of the prostate (TURP) and has a continuous bladder irrigation in place. Which actions should the nurse take? (Select a that apply)

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