A nurse is caring for a client who is receiving continuous bladder irrigation following a transurethral resection of the prostate.

The client reports bladder spasms and the nurse observes decreased urinary output.

Which of the following actions should the nurse take?

Remove the indwelling urinary catheter.

Decrease traction on the catheter.

Administer ibuprofen 400 mg for pain relief.

Flush the catheter manually with 0.9% sodium chloride.

Answer and Explanation

The Correct Answer is D

“Flush the catheter manually with 0.9% sodium chloride.” The client is receiving continuous bladder irrigation following a transurethral resection of the prostate and reports bladder spasms and decreased urinary output.
These symptoms may indicate that the catheter is blocked with blood clots.
Flushing the catheter manually with 0.9% sodium chloride can help to remove any blood clots and restore urinary output.
Choice A is not the correct answer because removing the indwelling urinary catheter would not address the underlying issue of blood clots blocking the catheter.
Choice B is not the correct answer because decreasing traction on the catheter would not address the underlying issue of blood clots blocking the catheter.
Choice C is not the correct answer because while ibuprofen may provide some pain relief, it would not address the underlying issue of blood clots blocking the catheter.

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Correct Answer is D

Explanation

The first action the nurse should take is to collect information about the irritant that caused the injury.
This information is important because it can help determine the appropriate treatment and irrigation solution to use.
Choice A is incorrect because airborne precautions are used to prevent the spread of infectious diseases that are transmitted through the air, and are not necessary in this situation.
Choice B is incorrect because administering proparacaine eye drops into the affected eye is not the first action the nurse should take.
Proparacaine is a topical anesthetic that can be used to numb the eye before performing ocular irrigation, but it is not the first action the nurse should take.
Choice C is incorrect because installing 0.9% sodium chloride solution into the affected eye is not the first action the nurse should take; the nurse should first collect information about the irritant that caused the injury before performing ocular irrigation.

A. "You will receive a general anesthetic during the procedure.". B. "You should plan to remain in bed for 18 hours after the procedure.". C. "You should expect a warm sensation after the injection of the contrast dye during the procedure.". D. "You will have blood pressure measurements every 5 minutes for the first 2 hours after the procedure.".

Correct Answer is C

Explanation

“You should expect a warm sensation after the injection of the contrast dye during the procedure.” During cardiac catheterization, a contrast dye is injected into the body to highlight blood flow through the arteries and show blockages in the blood vessels that lead to the heart.
This can cause a warm sensation.
Choice A is incorrect because usually, patients are awake during cardiac catheterization but are given medications to help them relax.
Choice B is incorrect because recovery time for a cardiac catheterization is quick.
Choice D is incorrect because there is no information found to support this statement.

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A nurse is caring for a client who is receiving continuous bladder irrigation following a transurethral resection of the prostate. The client reports bladder spasms and the nurse observes decreased urinary output. Which of the following actions should the nurse take?

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Correct Answer is D

Explanation

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Correct Answer is C

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A nurse is caring for a client who is receiving continuous bladder irrigation following a transurethral resection of the prostate.

The client reports bladder spasms and the nurse observes decreased urinary output.

Which of the following actions should the nurse take?