This is Mr. Taylor’s first postoperative day. The urinary bladder drainage has become darker in color. Your initial action would be to

Correct Answer: C

Rationale: Correct Answer (C): Check the flow to maintain a light pink drainage. Rationale: 1. Darker bladder drainage may indicate blood in the urine, which could be a sign of internal bleeding postoperatively. 2. Checking the flow allows you to assess the amount and color of drainage to ensure it stays light pink, indicating no significant bleeding. 3. Monitoring the drainage color helps in early detection of complications and prompt intervention if needed. Incorrect Choices: A: Calling the attending physician is not the initial action as it may delay necessary intervention. B: Irrigating with a piston syringe can disrupt the natural drainage pattern and should not be done without a healthcare provider's order. D: Ignoring the change in color as expected can lead to overlooking a potentially serious issue.

Correct Answer: C

Rationale: The correct answer is C: lipid digestion. Kidneys are not involved in the process of lipid digestion. Kidneys primarily function in filtering blood, controlling water and electrolyte balance, regulating blood pressure, and removing waste products. Lipid digestion occurs in the gastrointestinal system, specifically in the small intestine, where bile from the liver aids in breaking down fats. Choices A, B, and D are all functions directly related to kidney function, as the kidneys play a crucial role in maintaining proper pH balance, filtering waste products from the blood, and regulating blood pressure.

Correct Answer: C

Rationale: The correct answer is C because when the pH drops, the kidney aims to restore acid-base balance by excreting more hydrogen ions and reabsorbing more bicarbonate ions. Choice A is incorrect because the kidney excretes more hydrogen ions to help raise the pH. Choice B is incorrect because the kidney excretes more bicarbonate ions to help buffer the excess hydrogen ions. Choice D is incorrect because the kidney would not secrete fewer bicarbonate ions when trying to compensate for a drop in pH.

Correct Answer: E

Rationale: Rationale: E is the correct answer because it addresses the need for further assessment and intervention by the healthcare team. The nurse and urologist's unsuccessful attempts indicate a need for a different approach. Options A, B, C, and D do not address the need for additional assessment or intervention. Option A focuses on positioning, B on technique, C on depth of insertion, and D on frequency of self-catheterization. None of these options address the need for a different plan of care. Therefore, E is the correct choice as it prompts the healthcare team to reassess and consider alternative strategies.

Correct Answer: C

Rationale: The correct answer is C because assessing the patient for further signs and symptoms of UTI is crucial for timely diagnosis and treatment. By evaluating additional symptoms such as frequency, urgency, dysuria, and hematuria, the nurse can confirm the presence of a UTI. This step is essential for appropriate management and preventing complications. Choice A is incorrect because documenting a healthy stomach does not address the assessment and management of UTIs. Choice B is incomplete and does not provide any relevant information about UTIs. Choice D is incorrect as men over age 65 are actually less prone to UTIs compared to women.