Nokea
A patient who is receiving continuous bladder irrigation following a transurethral resection of the prostate (TURP) complains of 'spasm-like' pain over his lower abdomen. Which step will be the initial intervention by the nurse?
- A. Inform the nurse in charge.
- B. Decrease the continuous bladder irrigation flow.
- C. Administer the prescribed analgesic.
- D. Check the catheter and drainage system for obstruction.
Correct Answer: D
Rationale: The patient who has a TURP may have continuous closed bladder irrigation or intermittent irrigation to prevent occlusion of the catheter with blood clots, which would cause bladder spasms.
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Because the kidneys are located in proximity to the vertebrae and are protected by the ribs, their location is referred to by which term?
- A. retroperitoneal.
- B. diaphragm-vertebral.
- C. costovertebral.
- D. urachal-peritoneal.
Correct Answer: A
Rationale: The kidneys lie behind the parietal peritoneum (retroperitoneal).
The patient is on postoperative day 1 after having undergone a Transurethral resection of the prostate (TURP) procedure. He has continuous bladder irrigation (CBI). Actual urine output during continuous bladder irrigation in which manner?
- A. measuring and recording all fluid output in the drainage bag.
- B. measuring the total output and deducting the total of the irrigating and intravenous solutions.
- C. adding the total of the intravenous and irrigating solutions and then deducting the amount of output.
- D. measuring total output and deducting the amount of irrigating solution used.
Correct Answer: D
Rationale: To determine urine output, the nurse will subtract the amount of irrigation fluid used with the Foley catheter output to calculate urine output.
In the nephrotic syndrome, the glomeruli are damaged by inflammation and allow small ___ to pass through into the urine.
- A. proteins
Correct Answer: proteins
Rationale: In nephrotic syndrome, the glomeruli are damaged by inflammation and allow small proteins such as albumin to enter the urine. This creates a deficit of protein in the circulation volume (hypoalbuminemia), which leads to massive edema.
An intravenous pyelogram confirms the presence of a large renal calculus in the proximal left ureter of a newly admitted patient. The patient is not a candidate for conservative measures, so surgical correction is recommended. In addition to observing the patient for hemorrhage, which aspect of care will be the nurse's postsurgical interventions included for this patient?
- A. Encouraging fluid intake
- B. Addressing anxiety related to unclear outcome of condition
- C. Monitoring the patient for signs of prostatic hypertrophy
- D. Recommending appropriate oral analgesics to the health care provider
Correct Answer: A
Rationale: After surgery, encourage fluid intake to prevent infection and to prevent further stones from developing.
As the body breaks down protein, nitrogen wastes are broken down into urea, ammonia, and which other product?
- A. nitrogen.
- B. uric acid.
- C. nitrates.
- D. creatinine.
Correct Answer: D
Rationale: As proteins break down, nitrogenous wastes-urea, ammonia, and creatinine-are produced.