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A nurse removes a client's Foley catheter and documents that the client urinates 4 hours later. Which of the following elements of postoperative care is the nurse performing?

Providing surgical site or wound care

Managing postoperative pain

Assisting with early ambulation

Monitoring urinary function

Answer and Explanation

The Correct Answer is D

Choice A reason: The nurse is not providing surgical site or wound care by documenting urination.

Choice B reason: Managing postoperative pain is not directly related to monitoring the client's ability to urinate.

Choice C reason: Assisting with early ambulation does not pertain to the urinary function directly.

Choice D reason: Monitoring urinary function is part of postoperative care, especially after removal of a Foley catheter, to ensure the client is able to void normally.

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Correct Answer is ["A","B"]

Explanation

Choice A reason: The normal range for serum creatinine in adult females is approximately 0.6–1.1 mg/dL. A level of 1.8 mg/dL is elevated and indicates impaired kidney function, which is a risk factor for AKI.

Choice B reason: Normal BUN levels are generally between 6 to 24 mg/dL⁸. A BUN level of 200 mg/dL is significantly elevated and suggests kidney dysfunction, which can lead to AKI.

Choice C reason: Serum osmolality in the normal range, which is typically between 275 to 295 mOsm/kg H2O for adults⁹[13][^10^][14][16], does not indicate an increased risk of AKI.

Choice D reason: The normal range for serum magnesium is typically 1.7 to 2.2 mg/dL or 0.85 to 1.10 mmol/L. A level of 2.0 mEq/L (which is equivalent to 2.0 mg/dL) is within the normal range and does not indicate an increased risk for AKI.

A. Flatened neck veins B. Return of skin to previous position when the client's skin is palpated C. The client has a 5 lb weight gain since yesterday. D. Oxygen saturation 93%

Correct Answer is C

Explanation

Choice A reason: Flatened neck veins would suggest dehydration rather than fluid overload.

Choice B reason: The return of skin to previous position when pinched indicates good skin turgor, not fluid overload.

Choice C reason: A significant weight gain in a short period, such as 5 lb since yesterday, is a classic sign of fluid overload.

Choice D reason: An oxygen saturation of 93% does not necessarily indicate fluid overload.

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A nurse removes a client's Foley catheter and documents that the client urinates 4 hours later. Which of the following elements of postoperative care is the nurse performing?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is ["A","B"]

Explanation

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Correct Answer is C

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