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 ["0.5"]
Explanation
Ordered dose: 2.5 mg
Available dose: 5 mg/mL
Formula:
Volumetoadminister(mL) = Ordered doseAvailable dose
Volumetoadminister(mL)= 2.55
= 0.5 ml
Correct Answer is A
Explanation
A. “It is a normal postoperative expectation.” Hematuria is common immediately after renal transplantation due to surgical trauma and typically resolves as healing occurs.
B. “It is related to the immunosuppressant drugs taken before transplantation.” Immunosuppressant drugs do not cause hematuria directly.
C. “It is caused by dye injected during surgery.” Dye is not routinely used in renal transplantation, and hematuria would not be related to this.
D. “It is caused by a small vessel that may be bleeding but will coagulate as urine flow increases.” While small vessel bleeding can occur, it is better to explain the hematuria as a normal postoperative expectation.
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