A nurse is caring for a client with a urological obstruction. What is the nurse's priority in this situation?

Prepare the client for surgery

Provide emotional support to the client

Assess vital signs and urine output

Administer patient's medication

Answer and Explanation

The Correct Answer is C

Choice a reason: Preparing the client for surgery may be necessary if the urological obstruction requires surgical intervention. However, it is not the immediate priority. Before considering surgical preparation, the nurse must assess the client's current condition to determine the severity of the obstruction and its impact on vital signs and urine output.
Choice b reason: Providing emotional support to the client is important for overall care, but it is not the nurse's immediate priority in the case of a urological obstruction. Emotional support should be provided once the client's physical condition has been stabilized and assessed.
Choice c reason: Assessing vital signs and urine output is the nurse's priority in managing a client with a urological obstruction. Monitoring these parameters helps the nurse evaluate the severity of the obstruction, detect any signs of complications such as infection or renal failure, and guide further interventions. Immediate assessment ensures timely and appropriate management of the client's condition.
Choice d reason: Administering medication may be part of the client's treatment plan, but it is not the priority action. Medication administration should follow the assessment of the client's vital signs and urine output to ensure that the chosen interventions are appropriate for the client's current status. Prioritizing assessment allows for more targeted and effective treatment.

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Correct Answer is A

Explanation

Choice a reason: The patient uses clean technique when instilling the dialysate is incorrect and requires additional teaching. Peritoneal dialysis requires sterile technique to prevent infection. Using a clean technique, which is less rigorous than sterile technique, increases the risk of introducing pathogens into the peritoneal cavity. Proper sterile technique involves meticulous hand hygiene, using sterile gloves, and ensuring all equipment and supplies are sterile.
Choice b reason: The patient performs exchanges on a table with a sterile drape is appropriate. Using a sterile drape helps maintain a sterile field and reduces the risk of contamination during the dialysis procedure. This practice is an important part of sterile technique and helps ensure the patient's safety.
Choice c reason: The patient verbally expresses symptoms to report to the HCP is a positive behavior. Being aware of and communicating symptoms that may indicate complications, such as signs of infection or peritonitis, is crucial for timely intervention and management. This practice shows the patient is knowledgeable about monitoring their health and knowing when to seek professional help.
Choice d reason: The patient washes their hands before beginning is an essential step in both clean and sterile techniques. Proper hand hygiene is critical in preventing the spread of infection and is a fundamental practice in peritoneal dialysis. Washing hands thoroughly before starting the procedure helps minimize the risk of contamination.

A. Wash the perineum every 8 hours B. Avoid drinking cranberry juice C. Drink large amounts of caffeine D. Void frequently E. Void after sexual intercourse

Correct Answer is ["D","E"]

Explanation

Choice a reason: Washing the perineum every 8 hours is not a specific recommendation for preventing urinary tract infections (UTIs). Maintaining good personal hygiene is important, but washing the perineum every 8 hours is not necessary. Regular daily hygiene, including cleaning the perineal area thoroughly, is sufficient to help prevent UTIs.
Choice b reason: Avoid drinking cranberry juice is incorrect. Cranberry juice is often recommended as a preventive measure for UTIs. It is believed to help prevent bacteria from adhering to the walls of the urinary tract, reducing the risk of infection. Drinking cranberry juice or taking cranberry supplements can be part of a strategy to prevent UTIs.
Choice c reason: Drinking large amounts of caffeine is not recommended for preventing UTIs. Caffeine can irritate the bladder and may contribute to urinary frequency and urgency, which are not helpful in preventing infections. Staying well-hydrated with water is more beneficial for urinary health.
Choice d reason: Voiding frequently is an important preventive measure for UTIs. Regularly emptying the bladder helps flush out bacteria that could cause an infection. Holding urine for extended periods can increase the risk of bacterial growth and infection.
Choice e reason: Voiding after sexual intercourse is recommended to help prevent UTIs. This practice helps flush out any bacteria that may have been introduced into the urinary tract during intercourse. It is a simple and effective way to reduce the risk of developing a UTI.

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A nurse is caring for a client with a urological obstruction. What is the nurse's priority in this situation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is visiting a patient who performs peritoneal dialysis at home. The nurse is evaluating the patient's technique. Which finding requires additional teaching?

Correct Answer is A

Explanation

The nurse is planning a teaching session for a patient on preventing urinary tract infections. Which of the following information should the nurse include in the teaching? Select all that apply.

Correct Answer is ["D","E"]

Explanation

A nurse is collecting data from a client who has a urine output of 250 mL in a 24-hour period. Which of the following terms should the nurse use to document this finding in the electronic record?

A nurse is reinforcing teaching with a client who has received treatment for kidney stones. The nurse should remind the client to increase the intake of which of the following?

The nurse is obtaining a history on a patient with a diagnosis of bladder cancer. Which of the following would the nurse expect to find in the patient's history?

A client with CKD who is on hemodialysis asks for a snack in the afternoon. The patient's potassium level is elevated. Which of the following foods could be given? Select all that apply.

A nurse is checking the laboratory tests for a client who has glomerulonephritis. The nurse should expect to find an increase in which of the following test results?

Which of the following is a risk factor for urinary tract infections (UTIs)?

A nurse is reinforcing teaching for a client who has chronic kidney disease about the process of continuous ambulatory peritoneal dialysis (CAPD). Which of the following should the nurse include in the teaching?

The nurse is collecting data on a patient admitted for symptoms of renal insufficiency. Which factor will cause the nurse to suspect prerenal injury?