A nurse is caring for a patient after urinary diversion surgery. What postoperative nursing assessment is the priority?
Level of fluid intake
Keep the bed flat
Position on the left side
Bowel sounds
The Correct Answer is D
A. Level of fluid intake: While monitoring fluid intake is important, bowel sounds are more critical immediately after surgery to detect potential paralytic ileus or other complications.
B. Keep the bed flat: Postoperative positioning depends on the type of surgery and is not universally necessary.
C. Position on the left side: There is no specific need to position the patient on the left side postoperatively unless otherwise indicated.
D. Bowel sounds: Assessing bowel sounds is crucial to monitor for postoperative complications such as ileus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Irritability and hyperactivity: Glomerulonephritis does not directly cause these symptoms; neurological changes are more associated with uremia in advanced kidney disease.
B. Low blood volume with polyuria: Glomerulonephritis often leads to fluid retention rather than polyuria, resulting in increased blood pressure.
C. Low levels of BUN and creatinine: BUN and creatinine levels are typically elevated due to impaired filtration.
D. Moderate to high blood pressure: The inflammatory process in glomerulonephritis often leads to fluid retention and hypertension.
Correct Answer is D
Explanation
A. Equal to the excretion of urea: Urea excretion contributes to osmolality but does not define it.
B. In a ratio of 10:1 with the serum: This is not a recognized ratio for urine and serum osmolality.
C. Approximately half of the serum: In a healthy kidney, urine osmolality may vary but typically equals serum osmolality in a state of balance.
D. Equal to the osmolality of the serum: Under normal conditions, the kidney regulates urine osmolality to maintain a balance with serum osmolality, reflecting adequate kidney function.
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