A nurse is providing postoperative care to a client who underwent a radical nephrectomy for renal cancer. What is a priority nursing intervention for this client?
Monitoring blood pressure and heart rate
Administering chemotherapy medications
Encouraging the client to perform vigorous physical activity
Providing a high-sodium diet to prevent electrolyte imbalances
The Correct Answer is A
A) Correct. Monitoring vital signs, including blood pressure and heart rate, is a priority after a radical nephrectomy. Changes in blood pressure or heart rate can indicate potential complications.
B) Incorrect. Administering chemotherapy medications is not typically part of the immediate postoperative care for a radical nephrectomy.
C) Incorrect. Encouraging vigorous physical activity is not recommended immediately after a radical nephrectomy. The client will need time to recover and gradually resume normal activities.
D) Incorrect. Providing a high-sodium diet is not typically indicated after a radical nephrectomy. The client's diet will be based on their specific needs and any potential dietary restrictions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Correct. A renal ultrasound is a non-invasive imaging test that helps visualize the structures of the kidney. It can detect tumors, cysts, and other abnormalities.
B) Incorrect. While a renal ultrasound is important for assessing the kidney, it is not typically used to confirm metastases in other organs. Imaging tests like CT scans or MRIs are more suitable for that purpose.
C) Incorrect. While a renal ultrasound can detect tumors within the kidney, it is not used for direct biopsy. Biopsy procedures are separate and may be performed if a tumor is detected.
D) Incorrect. While a renal ultrasound provides information about kidney structure, it is not primarily used to assess blood flow or kidney function. Other tests like Doppler ultrasound or renal scintigraphy may be used for that purpose.
Correct Answer is B
Explanation
A) Incorrect. While pain management is important, assessing the surgical incision for signs of infection takes priority to ensure early detection and intervention.
B) Correct. Assessing the surgical incision is a priority to monitor for signs of infection, such as redness, swelling, warmth, or drainage. Early detection allows for prompt treatment and prevention of complications.
C) Incorrect. While ambulation is important for postoperative recovery, assessing the incision for signs of infection takes precedence.
D) Incorrect. Offering a full meal may not be appropriate immediately after surgery. The client's dietary intake should be assessed, and they may start with lighter foods as tolerated.
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