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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Choice a reason: Eliminating ingestion of foods high in protein is not entirely accurate. While it is important for clients with chronic kidney disease (CKD) to manage their protein intake, eliminating it completely is not recommended. Instead, they should consume controlled amounts of high-quality protein, as protein is necessary for maintaining muscle mass and overall health. However, excessive protein intake can increase the workload on the kidneys and accelerate the progression of kidney disease.
Choice b reason: Reducing intake of foods high in potassium is essential for clients with CKD. The kidneys' ability to excrete potassium is impaired in CKD, leading to elevated blood potassium levels (hyperkalemia), which can cause serious cardiac complications. Foods high in potassium, such as bananas, oranges, potatoes, and tomatoes, should be limited or avoided to help maintain safe potassium levels.
Choice c reason: Maintaining a low carbohydrate diet is not specifically recommended for clients with CKD. While managing carbohydrate intake is important, especially for clients with diabetes, the primary dietary focus for CKD patients is on controlling protein, potassium, sodium, and phosphorus intake. A balanced diet with appropriate nutrient management is key.
Choice d reason: Increasing intake of sodium-containing food is not appropriate for clients with CKD. Excess sodium can lead to fluid retention, hypertension, and increased strain on the kidneys. Clients with CKD are generally advised to follow a low-sodium diet to help manage blood pressure and reduce the risk of complications such as edema and heart failure.

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.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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

A nurse is reinforcing dietary instructions with a client who has chronic kidney disease. Which of the following information should the nurse include?

Correct Answer is B

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 reviewing the medication history of a client. The nurse should identify that which of the following medications places the client at risk for hypokalemia?

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?

Why would a nurse check a serum creatinine level?

A nurse is preparing to administer 0.9% sodium chloride IV infusion 1000 mL bag at a rate of 200 mL/hr for a client who has renal calculi. The nurse should expect the IV pump to infuse over how many hours?

What is the appropriate action to take if a client has a known allergy to IV dye used in CT scans?

What is the purpose of a renal biopsy?

A nurse is reinforcing teaching with a client who takes furosemide and has a serum potassium level of 3.1 mEq/L. Which of the following foods should the nurse instruct the client to include in his daily diet?

The nurse is checking patency of a new right arm AV fistula. What action does the nurse use to do this?