A nurse is caring for a client who is 2 hr postoperative following a transurethral resection of the prostate (TURP) gland.
Which of the following assessments should the nurse view to be an indication of a postoperative complication?
Output of burgundy-colored urine.
Oral temperature of 38.2° C (100.76° F).
An urge to void despite having an indwelling urinary catheter.
Pulse rate of 88/min.
The Correct Answer is A
Choice A rationale:
Output of burgundy colored urine can indicate bleeding, which is a complication after TURP.
Choice B rationale:
A slight fever might be normal postoperatively. However, a high fever could indicate an infection.
Choice C rationale:
An urge to void despite having an indwelling urinary catheter can be a normal sensation following surgery.
Choice D rationale:
A pulse rate of 88/min is within the normal range (60-100/min).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is choicea. Family history.
Choice A rationale:
Family history is a well-known risk factor for urolithiasis.If a close relative has had kidney stones, the likelihood of developing them increases due to genetic predispositions.
Choice B rationale:
A BMI less than 25 is generally considered normal or healthy weight and is not typically associated with an increased risk of urolithiasis.In fact, obesity is more commonly linked to a higher risk of kidney stones.
Choice C rationale:
Hypocalcemia, or low calcium levels in the blood, is not a common risk factor for urolithiasis.High calcium levels in the urine (hypercalciuria) are more often associated with the formation of kidney stones.
Choice D rationale:
Diuretic use can sometimes be associated with kidney stones, but it depends on the type of diuretic.Thiazide diuretics, for example, are often used to prevent calcium stones by reducing calcium excretion in the urine.
Correct Answer is A
Explanation
Choice A rationale:
Aspirin is given to clients with a history of myocardial infarction due to its antiplatelet aggregate properties. It prevents blood clots from forming, which can block the coronary arteries and cause a heart attack.
Choice B rationale:
While aspirin does have anti-inflammatory properties, this is not the primary reason it is given to clients with a history of myocardial infarction.
Choice C rationale:
Aspirin does have analgesic properties, but this is not the primary reason it is given to clients with a history of myocardial infarction.
Choice D rationale:
Aspirin does have antipyretic properties, but this is not the primary reason it is given to clients with a history of myocardial infarction.
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