It is very important to monitor the surgical patient's urine output because

urinary tract infections are common at this stage.

decreased urine output may be a sign of shock.

a distended bladder is uncomfortable.

swelling may block the ureters or urethra.

Answer and Explanation

The Correct Answer is B

A. Urinary tract infections are common at this stage. While urinary tract infections (UTIs) are a potential postoperative complication, monitoring urine output is not primarily for detecting UTIs but for ensuring adequate kidney function and overall circulatory health.

B. Decreased urine output may be a sign of shock. Decreased urine output can be a key indicator of shock, as inadequate perfusion to the kidneys during shock reduces urine production. This is a critical sign of potential hemodynamic instability and warrants immediate attention.

C. A distended bladder is uncomfortable. While a distended bladder can be uncomfortable, monitoring urine output is more about assessing kidney function and detecting issues like dehydration, shock, or kidney failure rather than simply comfort.

D. Swelling may block the ureters or urethra. Swelling may cause urinary retention, but this is less common as a primary concern postoperatively. The primary reason for monitoring urine output is to assess overall circulation and kidney function, not necessarily to monitor for obstruction.

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Correct Answer is A

Explanation

A. The opinion of a second surgeon is sought regarding the necessity of the surgery. This is an appropriate course of action when consent cannot be obtained from the patient or family, especially in emergency situations to ensure the necessity of surgery.

B. The surgeon will write a detailed note about the need for surgery and a registered nurse will then sign the consent. RNs do not have the legal authority to sign surgical consent forms, which should be signed by a legal guardian or the healthcare provider in emergencies when appropriate.

C. The hospital social worker can sign the permit. Social workers do not have the authority to sign consent forms. Consent must typically come from a legally authorized individual.

D. The hospital attorney must authorize the surgery and sign the consent form. The hospital attorney is not typically involved in emergency decision-making about surgery unless there are significant legal concerns, which is not the case in this scenario.

A. Initiate protective isolation. B. Perform hand hygiene prior to dressing changes. C. Clean the incision with soap and water. D. Allow the wound to air periodically.

Correct Answer is B

Explanation

A. Initiate protective isolation. Protective isolation is for immunocompromised patients and does not prevent incisional infections.

B. Perform hand hygiene prior to dressing changes. Hand hygiene is the most effective way to prevent infection by reducing the transmission of microorganisms.

C. Clean the incision with soap and water. Surgical incisions should be cleaned with an antiseptic solution, not soap and water, to prevent bacterial contamination.

D. Allow the wound to air periodically. Keeping the wound covered helps prevent exposure to bacteria and contaminants.

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It is very important to monitor the surgical patient's urine output because

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Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is B

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