The nurse is caring for a patient who is scheduled for a cystoscopy with basket (C&P) extraction of a stone. What is the most important postoperative care after this surgery for the nurse to provide?

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Question 1 of 5

The nurse is caring for a patient who is scheduled for a cystoscopy with basket (C&P) extraction of a stone. What is the most important postoperative care after this surgery for the nurse to provide?

Correct Answer: A

Rationale: Measuring urine output (A) post-C&P ensures no retention from meatal swelling, a key concern. Weights (B) and AKI (C) are secondary, and limiting fluids (D) contradicts encouraging intake, making A the priority care.

Question 2 of 5

The nurse is caring for a patient who has chronic kidney disease. Laboratory test results show a potassium level of 6 mEq/L. Which of the following actions would be most appropriate for the nurse to take?

Correct Answer: E

Rationale: Notify the RN and physician for treatment orders and place the patient on a cardiac monitor to detect dysrhythmias.

Question 3 of 5

The nurse is caring for a patient who had a brush biopsy 12 hours ago. The presence of what assessment finding should prompt the nurse to notify the physician?

Correct Answer: C

Rationale: A fever of 100.2°F (C) post-biopsy suggests infection, warranting physician notification. Hematuria (A) and colic (B) are expected, and IV infiltration (D) is minor, making C the critical finding.

Question 4 of 5

A patient is admitted to a psychiatric unit with severe depression and suicidal ideation. Which intervention should the nurse prioritize?

Correct Answer: B

Rationale: Safety is the priority in patients with suicidal ideation to prevent self-harm.

Question 5 of 5

A client with phobic disorder avoids crowded places. The nurse recognizes this behavior as an example of:

Correct Answer: B

Rationale: Avoidance of crowded places is characteristic of agoraphobia.

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