A nurse is assessing a client who is postoperative following a transurethral resection of the prostate and is receiving continuous bladder irrigation. The client reports bladder spasms, and the nurse notes a scant amount of fluid in the urinary drainage bag. Which of the following actions should the nurse take?

Apply a cold compress to the suprapubic area.

Secure the urinary catheter to the upper left quadrant of the client's abdomen.

Use 0.9% sodium chloride to perform an intermittent bladder irrigation.

Encourage the client to urinate every 2 hr.

Answer and Explanation

The Correct Answer is C

A) This is not a standard intervention for bladder spasms post-TURP.

B)   Securing the urinary catheter to the abdomen does not address the immediate issue of potential catheter blockage.
C)   Performing an intermittent bladder irrigation using sodium chloride is appropriate in this case. This is because bladder spasms and a scant amount of fluid in the urinary drainage bag may indicate a blockage in the catheter. Intermittent bladder irrigation can help to remove any clots or debris that may be causing the blockage.
D)   Encouraging the client to urinate is not applicable as the client cannot urinate normally due to the surgery.

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Correct Answer is A

Explanation

A) Decreasing protein intake is often recommended for clients with nephrotic syndrome to reduce proteinuria and slow the progression of kidney damage.
B) Decreasing carbohydrate intake is not typically a focus of dietary recommendations for nephrotic syndrome.
C) Increasing potassium intake may not be appropriate, as clients with nephrotic syndrome may be at risk of hyperkalemia due to impaired kidney function.
D) Increasing phosphorus intake is not typically indicated and may exacerbate complications associated with kidney dysfunction in nephrotic syndrome.

A. Palpable thrill B. Absence of a bruit C. Normotensive blood pressure D. Dilated appearance of the graft

Correct Answer is A

Explanation

A. A palpable thrill over the graft site indicates adequate blood flow through the graft.

B. The presence of a bruit (a humming sound) over the graft site is expected and indicates blood flow.
C. Normotensive blood pressure is not specifically indicative of the circulation of the graft.
D. A dilated appearance of the graft may indicate an issue with the graft, such as an aneurysm, rather than adequate circulation.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who has developed nephrotic syndrome. Which of the following dietary recommendations should the nurse include?

Correct Answer is A

Explanation

A nurse is caring for a client who has an arteriovenous graft. Which of the following findings indicates adequate circulation of the graft?

Correct Answer is A

Explanation

A nurse is teaching a client who has a new prescription for warfarin about foods that affect the INR. The nurse should include in the teaching that which of the following foods interacts with this medication?

A nurse is caring for a client who is receiving mechanical ventilation when the low pressure alarm sounds on the ventilator. Which of the following actions should the nurse take?

A nurse is asking a preoperative client about food allergies. Which of the following food allergies indicates a potential reaction to propofol?

A nurse is caring for a client in the emergency department. Exhibits The nurse is caring for the client in the ED. The nurse understands that the client is at risk of developing which of the following complications? Select all that apply.

A nurse is planning to withdraw medication from an ampule to prepare for an injection. Which of the following actions should the nurse plan to take?