A nurse is caring for a client who is 6hrs 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.
Check the tubing for kinks.
Notify the provider.
Adjust the rate of the bladder irrigant.
The Correct Answer is B
A. Irrigating the catheter may be necessary, but the nurse should first assess for a simpler cause of the obstruction, such as a kink.
B. Checking for kinks is the priority, as it is a common cause of catheter obstruction and can be easily corrected.
C. Notifying the provider is unnecessary unless troubleshooting measures fail to resolve the issue.
D. Adjusting the bladder irrigant rate may be considered, but only after ensuring the tubing is free from kinks.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Furosemide, a diuretic, is more likely to cause hypotension, not hypertension, due to fluid loss.
B. Furosemide is used to treat hypervolemia, so it does not cause hypervolemia.
C. Hypoglycemia is not a common adverse effect of furosemide; it primarily affects electrolytes.
D. Hypokalemia, or low potassium levels, is a common adverse effect of furosemide because it promotes potassium excretion in the urine.
Correct Answer is B
Explanation
A. Hypocalcemia is associated with hyperactive, not hypoactive, deep tendon reflexes.
B. Tingling of the extremities, known as paresthesia, is a common symptom of hypocalcemia, which can occur after thyroidectomy due to potential damage or removal of the parathyroid glands.
C. Constipation is more commonly associated with hypercalcemia.
D. Hypocalcemia typically presents with a prolonged, not shortened, QT interval.
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