NCLEX-RN
Urinary Elimination NCLEX RN Questions Questions
Extract:
The following scenario applies to the next 1 items
The nurse in the medical-surgical unit is caring for a client following a transurethral resection of the prostate (TURP).
Item 1 of 1
Nurses’ Notes
1241: The client arrived at the medical-surgical unit six hours post-operative from a TURP. The client was alert and oriented to person, place, time, and situation. The client has a three-way indwelling urinary catheter and is continuously irrigated with isotonic saline. Urine output is ketchup-like with medium to large clots. The client reports the need to urinate and reported pressure in the pelvic region, described as spasms.
Intake and Output
Intake – Continuous bladder irrigation: 550 mL
Output – Indwelling catheter: 975 mL
Vital Signs
1257:
Blood Pressure 100/60 mm Hg
Temperature 98° F (36.7° C)
Heart rate 110/min
Respiratory rate 19 breaths per minute
Oxygen saturation 95% on room air
Question 1 of 5
The client is demonstrating signs and symptoms of.
Correct Answer: A
Rationale: Ketchup-like urine with clots and pelvic pressure post-TURP indicate catheter obstruction.
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Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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