A patient is 2 hours postoperative with a Foley catheter in situ. The last hourly urine output recorded for this patient was 10 mL. The tubing of the Foley is patent. What should the nurse do?

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Question 1 of 5

A patient is 2 hours postoperative with a Foley catheter in situ. The last hourly urine output recorded for this patient was 10 mL. The tubing of the Foley is patent. What should the nurse do?

A. Irrigate the Foley with 30 mL normal saline. B. Notify the physician and continue to monitor the hourly urine output closely. C. Decrease the IV fluid rate and massage the patient's abdomen. D. Have the patient sit in high-Fowler's position.

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

A patient on the postsurgical unit who underwent a mastectomy 36 hours ago is going to be discharged home later in the day. The nurse assesses the patient's incision prior to discharge and notes the presence of a gaping wound with protruding tissue. What should the nurse do?

A. Apply a loose sterile dressing and allow the patient to go home as planned. B. Notify the surgeon about the wound dehiscence. C. Instruct the patient to apply ice to the incision once she arrives home. D. Pack the wound tightly with sterile gauze soaked in normal saline.

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

The nurse is assessing a patient who underwent an appendectomy 24 hours ago. The patient reports pain at the incision site rated as 8 out of 10, despite receiving analgesics 2 hours ago. What should the nurse do first?

A. Administer an additional dose of analgesic as ordered. B. Notify the physician of the unrelieved pain. C. Apply a warm compress to the incision site. D. Encourage the patient to use distraction techniques.

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

The OR nurse is caring for a patient under general anesthesia. What is the priority assessment?

A. Skin integrity B. Airway patency C. Blood pressure D. Pain level

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

The scrub nurse is counting instruments post-procedure. What is the purpose of this task?

A. To bill the patient accurately B. To ensure no instruments are left inside C. To track inventory for the OR D. To confirm the surgeon's preferences

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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