A nurse is caring for a client who is 5 hr postoperative following a transurethral resection of the prostate (TURP). The nurse notes that the client's indwelling urinary catheter has not drained in the past hour.

Which of the following actions should the nurse take first?

Irrigate the catheter.

Notify the provider.

Check the tubing for kinks.

Adjust the rate of the bladder irrigant.

Answer and Explanation

The Correct Answer is C

Choice A rationale:
Irrigating the catheter may be necessary, but it is not the first action to take.
Choice B rationale:
Notifying the provider is important, but there are actions the nurse can take first.
Choice C rationale:
Checking the tubing for kinks is the first action because it is a simple and non-invasive intervention.
Choice D rationale:
Adjusting the rate of the bladder irrigant may be necessary, but it is not the first action to take.

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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.

A. Behavioral indicators and effect. B. Scheduled treatments and client illness. C. Pulse and blood pressure findings. D. A self-report pain rating scale.

Correct Answer is A

Explanation

Choice A rationale:
Behavioral indicators are the most reliable way to assess pain in a client with expressive aphasia as they may not be able to verbally communicate their pain.
Choice B rationale:
Scheduled treatments and client illness do not directly indicate the client’s pain level.
Choice C rationale:
Pulse and blood pressure findings can be influenced by many factors and are not the most reliable indicators of pain.
Choice D rationale:
A self-report pain rating scale would not be effective for a client with expressive aphasia as they may have difficulty understanding and using the scale.

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A nurse is caring for a client who is 5 hr postoperative following a transurethral resection of the prostate (TURP). The nurse notes that the client's indwelling urinary catheter has not drained in the past hour. Which of the following actions should the nurse take first?

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Explanation

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Correct Answer is A

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A nurse is caring for a client who is 5 hr postoperative following a transurethral resection of the prostate (TURP). The nurse notes that the client's indwelling urinary catheter has not drained in the past hour.

Which of the following actions should the nurse take first?