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 D

Explanation

Choice a reason: Regular exercise is not a risk factor for urinary tract infections (UTIs). In fact, regular physical activity can contribute to overall health and well-being, including supporting a healthy immune system. There is no direct connection between exercise and an increased risk of UTIs.
Choice b reason: Drinking plenty of water is a preventive measure rather than a risk factor for UTIs. Adequate hydration helps to flush out bacteria from the urinary tract through frequent urination, reducing the likelihood of infection. Encouraging good hydration is an important strategy to prevent UTIs.
Choice c reason: Eating a balanced diet is beneficial for overall health and does not increase the risk of UTIs. A well-balanced diet supports the immune system and overall bodily functions, which can help in preventing infections, including UTIs. Proper nutrition is not associated with an increased risk of urinary tract infections.
Choice d reason: Poor personal hygiene is a significant risk factor for urinary tract infections. Inadequate hygiene practices, such as not cleaning the genital area properly or wiping from back to front after using the toilet, can introduce bacteria into the urinary tract, leading to infection. Ensuring good personal hygiene is crucial in preventing UTIs.

A. Take patient's blood pressure B. Call the physician C. Apply pressure to access site D. Notify the dialysis nurse

Correct Answer is C

Explanation

Choice a reason: Taking the patient's blood pressure is not the first action to take in this situation. While monitoring vital signs is important, the immediate priority is to stop the bleeding. Addressing the bleeding at the access site takes precedence to prevent excessive blood loss and potential complications.
Choice b reason: Calling the physician is not the first action to take when the nurse notes bleeding from the vascular access site. While notifying the physician is important, the initial step must be to control the bleeding to ensure the patient's safety and stability.
Choice c reason: Applying pressure to the access site is the appropriate first action. This step is crucial to stop the bleeding and prevent further blood loss. Applying direct pressure helps to control the bleeding immediately, which is the primary concern in this situation. Once the bleeding is controlled, further actions such as notifying the physician and documenting the incident can be taken.
Choice d reason: Notifying the dialysis nurse is also not the first action to take. While it is important to inform the dialysis nurse and other members of the healthcare team, the priority is to control the bleeding by applying pressure to the access site. Once the bleeding is under control, the dialysis nurse can be notified to ensure proper follow-up and care.

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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

Which of the following is a risk factor for urinary tract infection (UTI)?

Correct Answer is D

Explanation

The patient is returning to the medical-surgical unit after a dialysis session. The nurse notes bleeding from the patient’s vascular access in the left arm. Which of the following is the nurse’s first action?

Correct Answer is C

Explanation

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