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
Choice A rationale:
HIV is primarily transmitted through direct contact with infected body fluids, such as blood, semen, vaginal fluids, and breast milk. This can occur during unprotected sex, sharing of needles, or from mother to child during childbirth or breastfeeding.
Choice B rationale:
Mosquitoes do not transmit HIV. The virus does not replicate or survive well within insects.
Choice C rationale:
Casual contact, such as hugging, shaking hands, or sharing dishes, does not lead to HIV transmission.
Choice D rationale:
Accidental puncture wounds can potentially transmit HIV, but this is not the primary mode of transmission. It’s more common in healthcare settings where workers might be exposed to needlestick injuries.
Correct Answer is C
Explanation
Choice A rationale:
This statement is incorrect. Movement can distort the image quality in an MRI scan, so patients are usually asked to lie still.
Choice B rationale:
This statement is incorrect. MRI contrast dye does not contain iodine, and it is less likely to cause an allergic reaction.
Choice C rationale:
This statement is correct. MRI scans can be very noisy due to the magnetic fields changing during the scan. Patients are often offered earplugs or headphones to reduce the noise.
Choice D rationale:
This statement is incorrect. The length of an MRI scan can vary, but it often takes longer than 30 minutes.
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