The client has just undergone surgery for bladder cancer and has an indwelling urinary catheter.
The nurse should monitor for which of the following complications?
Urinary retention.
Urinary incontinence.
Urinary tract infection.
Urinary urgency.
The Correct Answer is C
A urinary tract infection (UTI) is a common complication after bladder cancer surgery, especially if the patient has an indwelling urinary catheter.
A UTI can cause symptoms such as fever, pain, burning or urgency when urinating, blood in the urine, or cloudy or foul-smelling urine.
Choice A is wrong because urinary retention (the inability to empty the bladder completely) is unlikely to occur with an indwelling catheter, which drains urine continuously.
Choice B is wrong because urinary incontinence (the loss of bladder control) is more likely to occur after partial or radical cystectomy, which remove part or all of the bladder, respectively.
In these cases, reconstructive surgery is needed to create a new way for urine to leave the body.
Choice D is wrong because urinary urgency (the sudden and strong need to urinate) is also more likely to occur after partial or radical cystectomy, which can affect the nerves and muscles that control urination.
Urinary urgency can also be a symptom of a UTI, but it’s not the only one.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
This is the only solution that is isotonic and compatible with blood products. It will not cause hemolysis or clotting of the blood cells.
Choice B is wrong because lactated Ringer’s is a balanced electrolyte solution that contains calcium, which can cause clotting of the blood cells.
Choice C is wrong because 5% dextrose is a hypotonic solution that can cause hemolysis of the blood cells.
Choice D is wrong because 5% dextrose in 0.45% sodium chloride is a hypertonic solution that can cause hemolysis of the blood cells.
Correct Answer is A
Explanation
Trousseau’s sign is a test for hypocalcemia that involves inflating a blood pressure cuff on the arm and observing for carpal spasm. A positive sign indicates low calcium levels in the blood, which can cause neuromuscular irritability.
Choice B is wrong because hyperactive deep tendon reflexes are a sign of hypomagnesemia, which is a low level of magnesium in the blood.
Choice C is wrong because hyperactive bowel sounds are a sign of hyperkalemia, which is a high level of potassium in the blood.
Choice D is wrong because muscle twitching can be caused by many factors, such as anxiety, caffeine, or electrolyte imbalance, and is not specific to hypocalcemia.
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