A nurse is caring for a patient after urinary diversion surgery. What postoperative nursing assessment is the priority?
Level of fluid intake
Keep the bed flat
Position on the left side
Bowel sounds
The Correct Answer is D
A. Level of fluid intake: While monitoring fluid intake is important, bowel sounds are more critical immediately after surgery to detect potential paralytic ileus or other complications.
B. Keep the bed flat: Postoperative positioning depends on the type of surgery and is not universally necessary.
C. Position on the left side: There is no specific need to position the patient on the left side postoperatively unless otherwise indicated.
D. Bowel sounds: Assessing bowel sounds is crucial to monitor for postoperative complications such as ileus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Patient states an awareness of signs and symptoms of kidney stones and knows where to find pain relief: Awareness of symptoms is important, but prevention of recurrence is the primary goal.
B. Patient is able to describe measures to prevent recurrence of calculi: Prevention is the primary long-term goal in managing renal calculi. Understanding dietary adjustments, hydration, and lifestyle changes is crucial.
C. Patient will avoid infections and situations that would increase stress: Avoiding infections and stress is helpful but is not the main goal specific to renal calculi management.
D. Patient will measure intake and output so that they will be approximately equal: While monitoring hydration is important, it supports rather than defines the primary outcome of preventing recurrence.
Correct Answer is A
Explanation
A. "I will limit my fluid intake.": Anticholinergic agents can lead to urinary retention and dehydration, so limiting fluid intake can exacerbate side effects. Patients should be encouraged to maintain adequate hydration.
B. "I will chew gum to relieve my dry mouth.": Dry mouth is a common side effect of anticholinergics, and chewing gum can help alleviate it.
C. "I will eat fresh fruits.": Fresh fruits can help prevent constipation, another common side effect of anticholinergic medications.
D. "I will not drive if I develop blurred vision.": Blurred vision is a side effect of anticholinergics, and patients should avoid driving or operating machinery if it occurs.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.