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
Increased urine output is a sign of adequate hydration, as it means the kidneys are filtering waste and fluids from the body through the urine. The urine should be pale straw or lemonade colored, which indicates good hydration.
Choice B is wrong because decreased urine output is a sign of dehydration, as it means the kidneys are not working well and waste products are accumulating in the blood.
The urine may be dark and strong smelling, which indicates poor hydration.
Choice C is wrong because dry mucous membranes are a sign of dehydration, as they indicate a lack of fluid in the body tissues.
Choice D is wrong because hypertension is not a direct indicator of hydration status, although dehydration can cause low BP due to reduced blood volume.
Correct Answer is B
Explanation
Performing hand hygiene before and after handling the dialysis equipment is essential to prevent infection in peritoneal dialysis.
Hand washing and appropriate use of a mask can help avoid peritonitis, which is a serious complication of peritoneal dialysis.
Choice A is wrong because administering antibiotics prophylactically is not recommended for peritoneal dialysis patients, as it can increase the risk of antibiotic resistance and adverse effects.
Choice C is wrong because allowing the client to handle the dialysis equipment independently may increase the risk of contamination and infection.
The client should be supervised and instructed by a nurse on how to use sterile technique when connecting and disconnecting the transfer set.
Choice D is wrong because discontinuing the peritoneal dialysis if the client develops a fever may worsen the client’s condition and lead to fluid overload and electrolyte imbalance.
The client should be evaluated for signs of infection and treated accordingly.
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