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 B
Explanation
A. Retinopathy involves the retina and is detected through eye exams, not monofilament testing.
B. Neuropathy is the correct answer, as monofilament testing assesses sensation loss in peripheral neuropathy.
C. Radiculopathy relates to nerve root issues in the spine, not typically assessed with monofilaments.
D. Nephropathy concerns kidney function and is not assessed via sensory testing in the extremities.
Correct Answer is D
Explanation
A. Bright yellow urine is typical of well-hydrated individuals but is not expected after a prostatectomy.
B. Dark amber urine may indicate dehydration or concentrated urine, which is not the expected outcome post-surgery.
C. Bright red urine can indicate significant bleeding, which should be reported; however, some blood may be expected immediately after surgery.
D. Pale pink urine is a common and expected variation after a transurethral prostatectomy, indicating minor bleeding or irritation without significant risk.
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