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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["22.6"]
Explanation
Step 1 is: Determine the amount of potassium chloride per mL. 20 mEq ÷ 15 mL = 1.33 mEq/mL Step 2 is: Calculate the volume needed to administer 30 mEq. 30 mEq ÷ 1.33 mEq/mL
= 22.56 mL The nurse should administer 22.6 mL (rounded to the nearest tenth).
Correct Answer is ["2"]
Explanation
Step 1: Determine the concentration of the available medication. The available concentration is 2 mg/mL.
Step 2: Calculate the volume to be administered. 4 mg ÷ 2 mg/mL = 2 mL The nurse should administer 2 mL.
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