The patient is having lower abdominal surgery and the nurse inserts an indwelling catheter. What is the rationale for the nurse’s action?
The patient will not interrupt the procedure by asking to go to the bathroom.
To check the patency after abdominal surgery.
Anesthetics can decrease bladder contractility and cause urinary retention.
The patient may void uncontrollably during the procedure.
The Correct Answer is C
Choice A reason: Preventing bathroom interruptions is not the primary rationale. While convenient, indwelling catheters are used for clinical reasons like monitoring or preventing complications. This rationale overlooks the physiological effects of surgery and anesthesia, which are more critical for catheter use in abdominal procedures.
Choice B reason: Checking patency post-surgery is not the primary reason for intraoperative catheter placement. While catheters monitor urine output, the main goal is to manage bladder function during and immediately after surgery, when anesthesia and surgical manipulation increase retention risks, not just patency.
Choice C reason: Anesthetics, especially general or spinal, reduce detrusor muscle contractility, impairing bladder emptying. This increases urinary retention risk during and post-surgery. An indwelling catheter ensures continuous drainage, preventing bladder overdistention, discomfort, or complications like urinary tract infections or bladder injury.
Choice D reason: Uncontrolled voiding during surgery is unlikely under anesthesia, which suppresses bladder reflexes. While catheters prevent intraoperative bladder filling, the primary concern is retention from anesthetic effects, not involuntary voiding, making this rationale less accurate for catheter use.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Offering narcotics immediately without assessing pain details or considering nonpharmacological options is not therapeutic. Pain management requires a tailored approach, evaluating pain characteristics and patient preferences, as narcotics carry risks like respiratory depression, especially post-surgery, necessitating cautious use.
Choice B reason: Dismissing pain based on stable vitals is not therapeutic. Pain is subjective, and normal vitals (e.g., 110/60 mmHg, 60 bpm) don’t negate severe pain. This response invalidates the patient’s experience, potentially eroding trust and delaying effective pain management.
Choice C reason: Stating the patient doesn’t look in pain is dismissive and non-therapeutic. Pain is subjective, and external appearance may not reflect internal experience, especially in stoic patients. This response risks undermining patient trust and delaying appropriate pain relief interventions.
Choice D reason: Asking what the patient wants to try is therapeutic, promoting patient-centered care. It validates the patient’s pain, encourages shared decision-making, and considers both pharmacological and nonpharmacological options, optimizing pain relief while respecting patient autonomy and preferences post-surgery.
Correct Answer is D
Explanation
Choice A reason: Endoscopy visualizes the gastrointestinal or urinary tract but is not the primary test for renal calculi. It may be used for ureteral stones but is invasive and less effective than imaging for initial diagnosis.
Choice B reason: Ultrasound can detect renal calculi, especially in pregnant patients or those avoiding radiation, but it is less sensitive than CT for small stones or precise location. It is not the preferred initial test in most cases.
Choice C reason: Chest radiography is irrelevant for renal calculi, as it images the thoracic cavity, not the kidneys or ureters. Flank pain from stones is unrelated to chest pathology, making this test inappropriate.
Choice D reason: Intravenous pyelogram (IVP) or CT scans are gold standards for diagnosing renal calculi. CT provides detailed images of stone size, location, and obstruction, while IVP assesses urinary tract function, making them the expected tests.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.