Nokea
Your patient returned from surgery (laparoscopy) 4 hours ago and complains of being unable to empty her bladder. What step should you take next?
- A. Palpate her bladder and, if distended, perform a bladder scan.
- B. Catheterize her.
- C. Have her drink a full glass of water and then have her try to void again.
- D. Check her vital signs.
Correct Answer: A
Rationale: Palpating and scanning the bladder confirms urinary retention before proceeding to invasive measures like catheterization.
You may also like to solve these questions
Circumcision is
- A. Retraction of the foreskin in males.
- B. Removal of the foreskin in males.
- C. Tightening of the foreskin in males.
- D. Narrowing of the opening of the foreskin in males.
Correct Answer: B
Rationale: Circumcision involves surgical removal of the foreskin in males.
What is the minimum acceptable hourly urine output?
- A. 15 mL
- B. 30 mL
- C. 60 mL
- D. 90 mL
Correct Answer: B
Rationale: The minimum acceptable hourly urine output is 30 mL to indicate adequate kidney function.
Treatment for a UTI includes rest, increased fluid intake, antibiotics, and urinary analgesics.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: This combination addresses infection, symptoms, and promotes recovery.
Contraction of which muscle causes the bladder to empty?
- A. Internal urinary sphincter
- B. Detrusor
- C. External urinary sphincter
- D. Peristalsis
Correct Answer: B
Rationale: The detrusor muscle contracts to expel urine from the bladder during voiding.
You will need to push back the foreskin before catheterizing uncircumcised males. After you catheterize the patient, you should
- A. Pull the foreskin back over the glans.
- B. Leave the foreskin retracted.
- C. Lubricate the foreskin with petroleum jelly and then replace it.
- D. Elevate the penis on a folded towel to prevent swelling of the foreskin or glans.
Correct Answer: A
Rationale: Replacing the foreskin over the glans after catheterization prevents paraphimosis, a condition where the retracted foreskin causes swelling.