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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Stage III and the patient has depressed reflexes. Stage III of anesthesia is the surgical stage, where the patient is under deep anesthesia, and reflexes are typically depressed. However, tensed muscles and irregular respirations may indicate that the patient is still in an earlier stage of anesthesia (stage II).
B. Stage IV and the patient will not depend on the anesthesia machine for oxygenation. Stage IV is the deepest level of anesthesia, where respiratory and cardiovascular functions are severely depressed. It does not match the description of tensed muscles and irregular respirations, which are more characteristic of an earlier stage (stage II).
C. Stage II and the surgical environment should be kept quiet. Stage II of anesthesia is the excitement stage, where patients may exhibit tensed muscles, irregular respirations, and uncoordinated movements. The surgical environment should be kept quiet to minimize stimuli that could cause agitation or further excitement in this stage.
D. Stage I and the patient's hearing is amplified. Stage I is the stage of anesthesia where the patient is still conscious and responsive to stimuli. The description of tensed muscles and irregular respirations does not match this stage. Additionally, the patient’s hearing would not be amplified in stage I, but rather in stage II or as they begin to emerge from anesthesia.
Correct Answer is D
Explanation
A. To relieve pain or complications without curing. This describes palliative care, not perioperative care.
B. Voluntary. This does not define perioperative care; it relates to patient decision-making (e.g., elective surgery).
C. Own, originating within an individual. This describes something intrinsic (e.g., idiopathic conditions), not perioperative care.
D. Care from decision to have surgery through the recovery period. (Correct Answer) Perioperative care includes preoperative, intraoperative, and postoperative care, ensuring patient safety and optimal surgical outcomes.
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