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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice Arationale:
Holding the right arm straight is not a specific test for carpal tunnel syndrome.
Choice Brationale:
Extending the right arm upward is not a recognized test for carpal tunnel syndrome.
Choice C rationale:
Holding the wrist at a 90-degree flexion is similar to Phalen’s test, a recognized diagnostic test for carpal tunnel syndrome.
Choice D rationale:
Flexing the right arm at the elbow is not a recognized test for carpal tunnel syndrome.
Correct Answer is B
Explanation
Choice A rationale:
An HbA1c value of 8.5% is above the recommended range for good glucose control.
Choice B rationale:
An HbA1c value of 6.3% is within the target range for people with diabetes, indicating good glucose control.
Choice C rationale:
An HbA1c value of 10% is significantly above the recommended range, indicating poor glucose control.
Choice D rationale:
An HbA1c value of 7.8% is above the recommended range for good glucose control.
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