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 B
Explanation
A. Elective. Elective surgeries are planned in advance and are not urgent. Removing a bullet from the neck is not an elective procedure; it is necessary to treat an acute injury.
B. Emergency. The removal of a bullet from the neck is considered an emergency surgery. It is typically performed to address immediate life-threatening injury or to prevent further complications, such as damage to vital structures.
C. Palliative. Palliative surgeries are performed to relieve symptoms or improve quality of life in patients with terminal illnesses. Removing a bullet from the neck is not a palliative measure, as it is intended to treat an acute physical injury.
D. Reconstructive. Reconstructive surgeries aim to restore function or appearance after trauma, but removing a bullet is not primarily reconstructive. The goal here is to treat the immediate injury and prevent further harm.
Correct Answer is D
Explanation
A. Artificial body part. This describes a prosthesis, not an elective procedure.
B. Own, originating within an individual. This describes something intrinsic, such as idiopathic conditions, not elective surgery.
C. To relieve pain or complication without curing. This describes palliative care, not an elective procedure.
D. Voluntary. Elective procedures are planned in advance and performed at the patient’s choice rather than as an emergency (e.g., cosmetic surgery, knee replacement).
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