A nurse is collecting data on a client who is postoperative following a transurethral resection of the prostate (TURP). The nurse should recognize which of the following findings is the priority?

The client has small blood clots in his urinary catheter.

The client reports a continuous urge to void.

The client reports burning around the urinary catheter.

The client has bright red urine in his urinary catheter.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Small blood clots in the urinary catheter are common after TURP and usually resolve on their own. They are not typically a cause for immediate concern unless they persist or cause blockage.
Choice B rationale
A continuous urge to void is a common symptom after TURP due to irritation of the bladder and urethra. It is uncomfortable but not usually a priority concern.
Choice C rationale
Burning around the urinary catheter can occur due to irritation or infection. While it needs to be addressed, it is not the most critical finding.
Choice D rationale
Bright red urine in the urinary catheter indicates active bleeding, which can be a sign of a serious complication such as hemorrhage. This requires immediate attention to prevent further blood loss and potential shock.

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Correct Answer is A

Explanation

Choice A rationale
Drinking 16 oz of cranberry juice each day is correct. Cranberry juice has been shown to help prevent UTIs by inhibiting the adhesion of bacteria to the urinary tract lining. This can reduce the risk of infection, especially in individuals prone to recurrent UTIs.
Choice B rationale

Using an over-the-counter douche product after intercourse is incorrect. Douching can disrupt the natural balance of bacteria in the vagina, increasing the risk of infection. It is generally not recommended as a preventive measure for UTIs.
Choice C rationale
Waiting to void until the bladder feels full is incorrect. Delaying urination can lead to the accumulation of bacteria in the bladder, increasing the risk of infection. It is important to urinate regularly and not hold urine for extended periods.
Choice D rationale
Wearing underwear made from nylon is incorrect. Nylon underwear can trap moisture and create a warm, humid environment that promotes bacterial growth. It is better to wear breathable, cotton underwear to reduce the risk of UTIs.

A. Elevated creatinine. B. Decreased urine specific gravity. C. Hypokalemia. D. Decreased BUN.

Correct Answer is A

Explanation

Choice A rationale
Elevated creatinine is a common finding in clients with chronic kidney disease due to decreased renal function and impaired clearance of creatinine from the blood.
Choice B rationale
Decreased urine specific gravity is not typically associated with chronic kidney disease. Clients with chronic kidney disease may have an increased or normal urine specific gravity.
Choice C rationale
Hypokalemia is not a typical finding in chronic kidney disease. Clients with chronic kidney disease are more likely to have hyperkalemia due to impaired renal excretion of potassium.
Choice D rationale
Decreased BUN (blood urea nitrogen) is not expected in chronic kidney disease. Elevated BUN levels are more common due to reduced renal clearance of urea.

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A nurse is collecting data on a client who is postoperative following a transurethral resection of the prostate (TURP). The nurse should recognize which of the following findings is the priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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