Following an open loop resection and fulguration of the bladder, a patient is unable to void. Which nursing action should be implemented first?

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Question 1 of 5

Following an open loop resection and fulguration of the bladder, a patient is unable to void. Which nursing action should be implemented first?

Correct Answer: B

Rationale: A sitz bath (B) relaxes perineal muscles post-surgery, promoting voiding as the first non-invasive step. Catheterization (A) risks UTI, fluids (C) don't address retention, and exercises (D) are preventive, making B the initial action.

Question 2 of 5

The nurse contributes to the plan of care for a patient who has edema. Which of the following is the best indicator of a patient's fluid volume status?

Correct Answer: C

Rationale: Daily weight (C) is the best fluid volume indicator, reflecting gains/losses precisely (1 kg = 1 L). I&O (A) is less accurate, vital signs (B) are indirect, and turgor (D) is unreliable with edema, making C the top measure.

Question 3 of 5

Normal urinary output is ___ to 2,000 mL per 24 hours.

Correct Answer: B

Rationale: Normal urinary output is 1,000-2,000 mL/24 hours (B), balancing fluid intake. 500 mL (A) is oliguria, and 1,500-2,500 mL (C, D) fit within but aren't the lower bound, making B the standard.

Question 4 of 5

The nurse is contributing to the plan of care for a patient who has chronic kidney disease. What are possible effects of this condition the nurse should consider?

Correct Answer: F

Rationale: All but B and F occur due to the loss of function and resulting effects of the failed kidneys.

Question 5 of 5

A patient with recurrent urinary tract infections has just undergone a cystoscopy and complains of slight hematuria during the first void after the procedure. What is the nurses most appropriate action?

Correct Answer: B

Rationale: Slight hematuria post-cystoscopy (B) is normal due to mucosal trauma, requiring reassurance and monitoring. Vitamin K (A), physician report (C), or catheterization (D) aren't needed, making B the best action.

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