A nurse is collecting data from a client who is 1 day postoperative following a transurethral resection of the prostate. Which of the following findings should the nurse report to the provider?

Frequent urge to urinate

Occasional small clots in the urine

Dark red urine

Urine output of 300 mL over 8 hr

Answer and Explanation

The Correct Answer is C

A. Frequent urge to urinate: Urinary frequency and urgency are expected findings after TURP due to bladder and urethral irritation from surgery and catheterization. These sensations typically improve as inflammation subsides and do not require immediate provider notification.

B. Occasional small clots in the urine: Small clots can be expected during the early postoperative period following TURP as the prostatic tissue heals. Continuous bladder irrigation often helps flush these clots, and their presence alone does not indicate a complication unless they become large or obstruct urine flow.

C. Dark red urine: Dark red urine indicates active bleeding and is an abnormal finding 1 day post-TURP. This suggests possible hemorrhage or inadequate hemostasis and requires prompt provider notification to prevent complications such as clot retention or hypovolemia.

D. Urine output of 300 mL over 8 hr: This urine output averages approximately 37.5 mL/hr, which is within acceptable limits for an adult postoperative client. Adequate output suggests sufficient renal perfusion and does not require immediate intervention.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

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

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is C,A,D,B

Explanation

A. Move the client to a safe location: The first priority in any fire emergency is client safety. Removing the client from immediate danger prevents injury and ensures they are out of harm’s way before other actions are taken.

B. Pull the nearest fire alarm: Activating the fire alarm alerts the entire facility to the emergency, initiating evacuation procedures and notifying the fire response team. Prompt alarm activation is critical for overall safety.

C. Shut all doors and windows: Closing doors and windows helps contain the fire and smoke, slowing its spread to other areas of the facility. This action protects other clients, staff, and the environment until fire services arrive.

D. Attempt to extinguish the fire: Only after the client is safe, the alarm is activated, and doors are closed should trained personnel attempt to extinguish the fire, if it is small and manageable. Attempting to fight a fire before these steps can place the client and nurse at significant risk.

A. "You will need an attorney to appoint a health care surrogate” B. "You should appoint a family member as your health care surrogate." C. "Once you have completed a living will it cannot be changed." D. "Your health care surrogate will make decisions on your behalf if you are unable”

Correct Answer is D

Explanation

A. "You will need an attorney to appoint a health care surrogate": It is not necessary to involve an attorney to designate a health care surrogate. Most states allow clients to complete the form themselves using standardized documents, making it accessible without legal assistance.

B. "You should appoint a family member as your health care surrogate": The surrogate does not have to be a family member; the client may choose any competent adult they trust to make health care decisions on their behalf. Emphasizing family only limits the client’s autonomy in selecting a trusted decision-maker.

C. "Once you have completed a living will it cannot be changed": Advanced directives, including living wills, can be updated or revoked at any time as long as the client has decision-making capacity. This flexibility allows clients to adjust their wishes as circumstances or preferences change.

D. "Your health care surrogate will make decisions on your behalf if you are unable": The primary role of a health care surrogate is to make medical decisions for the client when they lack the capacity to do so. This ensures that the client’s preferences and best interests are respected in situations where they cannot communicate their wishes.

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 collecting data from a client who is 1 day postoperative following a transurethral resection of the prostate. Which of the following findings should the nurse report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is receiving oxygen when a fire starts in an adjacent room. Identify the sequence of actions the nurse should take. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Correct Answer is C,A,D,B

Explanation

A nurse is reinforcing teaching with a client about advanced directives. Which of the following information should the nurse include?

Correct Answer is D

Explanation

A nurse is caring for a client who has paranoid schizophrenia and believes that they are being followed by FBI agents who are pretending to be psychiatric staff. Which of the following responses should the nurse make?

A nurse is assisting with the care of client in a clinic. Based on the information in the client's medical record, which of the following findings require immediate follow-up? Select the 4 findings that require immediate follow-up by the nurse.

A nurse on a mental health unit is assisting with the care of a client. Complete the following sentence by using the lists of options. The client is at risk for dropdownas evidenced by the client'sdropdown.

A nurse is collecting data from a client who is at 35 weeks of gestation. Which of the following findings should the nurse report to the provider?

A nurse is reinforcing teaching with a client who has a new prescription for enoxaparin. The nurse should identify which of the following over-the- counter products as unsafe for use with enoxaparin?

The nurse is continuing to assist in the care of the client. Complete the following sentence by using the lists of options. The nurse should reinforce teaching with the client to dropdownand to dropdownwhile taking paliperidone.

A nurse is collecting data from a client who is at 12 weeks of gestation. The client states, "We've been trying to get pregnant for several months. but now I'm not sure I'm ready." Which of the following responses should the nurse make?