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 D
Explanation
Choice A rationale:
Cataract extraction is a minor procedure and does not pose a significant risk for DVT.
Choice B rationale:
Myringotomy, a procedure to drain fluid from the middle ear, also does not significantly increase DVT risk.
Choice C rationale:
Laparoscopic appendectomy, while more invasive, still carries a lower DVT risk compared to major orthopedic surgeries.
Choice D rationale:
Hip arthroplasty, a major orthopedic surgery, poses a high risk for DVT due to prolonged immobility and venous stasis.
Correct Answer is D
Explanation
Choice A rationale:
Using a microwave for cooking is not a safety risk.
Choice B rationale:
Electrical cords along the walls are not a safety risk.
Choice C rationale:
Handrails in the bathroom are not a safety risk.
Choice D rationale:
Scatter rugs in the kitchen can cause falls, hence they are a safety risk.
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