Nokea
After the TURP, which assessment finding would the nurse expect to observe during the immediate postoperative period?
- A. Light pink to clear urine
- B. Second sediments in urine
- C. Decreased volume of urine
- D. Grossly bloody urine
Correct Answer: D
Rationale: Grossly bloody urine is expected immediately after TURP due to surgical trauma to the prostate.
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Which statement by the client indicates a need for further teaching about the management of urolithiasis?
- A. I will drink at least 3 liters of water daily.
- B. I will strain all my urine to collect any stones.
- C. I will take my pain medication as prescribed.
- D. I will avoid drinking water to reduce urine output.
Correct Answer: D
Rationale: Avoiding water intake is incorrect, as increased fluid intake is essential to promote stone passage and prevent recurrence.
The nurse is planning the care of a postoperative client with an ileal conduit. Which intervention should be included in the plan of care?
- A. Provide meticulous skin care and pouching.
- B. Apply sterile drainage bags daily.
- C. Monitor the pH of the urine weekly.
- D. Assess the stoma site every day.
Correct Answer: A
Rationale: Meticulous skin care and proper pouching prevent skin breakdown and infection around the ileal conduit stoma. Sterile bags are unnecessary, weekly pH monitoring is not standard, and daily stoma assessment is part of skin care.
Which comment is the best response the nurse can offer?
- A. You're a very nice person.
- B. You're a very nice person.
- C. You should expect this at your age.
- D. You're discouraged right now.
Correct Answer: D
Rationale: Acknowledging the client's feelings of discouragement validates their emotional state and opens the door for supportive communication.
If this client's condition is similar to that of others in the oliguric phase of renal failure, the nurse would anticipate the client's urine output to be within what range?
- A. 50 to 100 mL/hour
- B. 100 to 150 mL/hour
- C. 500 to 1,000 mL/day
- D. 100 to 500 mL/day
Correct Answer: D
Rationale: The oliguric phase of renal failure is characterized by a urine output of 100–500 mL/day, reflecting significantly reduced kidney function.
Which nursing intervention is most helpful in assisting the client undergoing hemodialysis to cope with the treatment?
- A. Giving the client literature to read about renal failure
- B. Advising the client's spouse to cook the client's favorite dishes
- C. Keeping the client informed of the latest research findings
- D. Exploring with the client how this disorder has affected life
Correct Answer: D
Rationale: Exploring the impact of the disorder on the client's life fosters emotional coping and supports psychosocial adjustment.