You arrive for your 7 a.m. shift on the urology unit and the night nurse gives a report on the following patients who will be under your care. Which one would you see first?

Mr. Dominic, newly admitted for evaluation of bladder cancer.

Mr. Bradford is 3 days post-radical prostatectomy for invasive bladder cancer. His urine output overnight was 1200 mL of blood-tinged urine. He did not sleep well and ambulated twice overnight complaining of gas pains.

Mr. Jennings had a TURBT (transurethral resection of bladder tumor) yesterday. He is complaining of bladder spasms. He had 3000 mL of bladder irrigation in overnight and 2950 mL out.

Ms. Griffiths, who had a cystectomy for bladder cancer 3 years ago, was admitted via the ER overnight with a complaint of severe hip pain and anorexia. Her lab tests were normal with the exception of elevated liver enzymes. After an initial dose of Dilaudid 1 mg, she reports her pain as 2 on a 0 to 10 scale and has slept fitfully overnight.

Answer and Explanation

The Correct Answer is B

Choice A reason: Mr. Dominic's evaluation for bladder cancer is important, but there are no acute symptoms reported that require immediate attention over the other patients listed.
Choice B reason: Mr. Bradford's condition is the most concerning. He is 3 days post-radical prostatectomy with significant blood-tinged urine output and complaints of gas pains, which could indicate complications such as bleeding or infection that need immediate assessment.
Choice C reason: Mr. Jennings’ condition is stable with an almost equal in-and-out bladder irrigation, though bladder spasms should be addressed, it is not as immediately critical as Mr. Bradford's symptoms.
Choice D reason: Ms. Griffiths is stable with managed pain levels and normal lab results except for elevated liver enzymes, which do not present an immediate threat compared to Mr. Bradford's condition.

Nursing Test Bank

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Correct Answer is D

Explanation

Choice A reason: Adjusting the rate of the infusion or catheter drainage without first identifying the cause of the lack of drainage can be ineffective. It is essential to determine whether there is a physical obstruction before making rate adjustments.
Choice B reason: Irrigating the catheter might be necessary if there is a blockage, but it is not the first step. Checking the tubing for kinks should be done first to identify and correct any simple mechanical obstructions.
Choice C reason: Notifying the provider is important if the issue persists, but the nurse should first assess and try to resolve the problem by checking for any obvious causes like kinks in the tubing. Immediate provider notification is not the first action.
Choice D reason: Checking the tubing for kinks is the first and most logical step. Kinks in the catheter tubing can easily obstruct urine flow, and this simple assessment can quickly identify and resolve the issue, restoring proper drainage.

A. Refrigerate the urine during the collection time period. B. Discard the client's last void at the end of the collection time period. C. Save the first void at the start of the collection time period. D. Include toilet paper with the collected urine.

Correct Answer is A

Explanation

Choice A reason: Refrigerating the urine during the collection period helps preserve the integrity of the sample by preventing bacterial growth and chemical changes, ensuring accurate test results.
Choice B reason: Discarding the client's last void at the end of the collection period is incorrect; instead, the first void at the beginning of the period should be discarded to start the collection with an empty bladder.
Choice C reason: Saving the first void at the start of the collection period is not standard practice. The first void should be discarded, and then the collection starts with the next void.
Choice D reason: Including toilet paper with the collected urine can contaminate the sample and is not an appropriate action.

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You arrive for your 7 a.m. shift on the urology unit and the night nurse gives a report on the following patients who will be under your care. Which one would you see first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is 5 hours postoperative following a transurethral resection of the prostate (TURP). The nurse notes that the client's indwelling urinary catheter has not drained in the past hour. Which of the following actions should the nurse take first?

Correct Answer is D

Explanation

A nurse is preparing to obtain a 24-hour urine collection from a client. Which of the following actions should the nurse plan to take?

Correct Answer is A

Explanation

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A nurse is providing teaching to a client who has a history of pancreatitis. Which of the following food choices should the nurse instruct the client to avoid?

A nurse is interviewing a client who has acute pancreatitis. Which of the following factors should the nurse anticipate finding in the client's history?

A nurse instructs a female client about collecting a midstream urine sample. Which of the following client statements indicates an understanding of the procedure?

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A nurse is providing preoperative teaching to a client who is to undergo an open bowel resection at 1300 next week. Which of the following statements by the client indicates the need for further teaching?

You are working in a urologist's office. When you return from lunch, you have the following phone messages. Which one requires immediate attention?