A patient with urinary obstruction has a catheter inserted and immediately drains 1,800 mL of urine. Which nursing action is most appropriate?
Correct answer: A. Monitor blood pressure, urine output, and electrolytes
- A. Monitor blood pressure, urine output, and electrolytes
- B. Clamp the catheter for several hours to prevent shock
- C. Encourage a large oral fluid intake without assessment
- D. Remove the catheter immediately after drainage begins
Explanation
Rapid relief of obstruction can be followed by post-obstructive diuresis, causing excessive fluid and electrolyte loss. Close monitoring of output, vital signs, hydration, and electrolytes helps detect this complication; routine clamping is not appropriate.
Report an error
The more specific you are, the faster it gets fixed. A source beats an opinion.
Prefer email? support@testustad.com
About Renal and Urological Nursing
Covers assessment and care for urinary tract infection, glomerulonephritis, nephrotic syndrome, acute kidney injury, chronic kidney disease, renal stones and urinary obstruction. The subject includes intake and output, urinalysis, fluid restriction, dialysis care and the difference between prerenal, intrinsic and postrenal kidney injury.
Practise Renal and Urological Nursing
50 free Renal and Urological Nursing MCQs from Medical Surgical Nursing, each with the correct answer and an explanation. Unlimited attempts, no account needed.
Discussion
Stuck on an option, or know a faster way to get there? Ask or explain it here.
No comments yet. Be the first to explain this one.
Exams that ask Medical Surgical Nursing questions like this
Medical Surgical Nursing is on 8 papers prepared for on TestUstad, and all of them draw the same bank, so this question is worth knowing for every one of them.
More Renal and Urological Nursing questions
A patient with chronic kidney disease is prescribed epoetin alfa. Which laboratory result is most important for evaluating the treatment response?
Which finding most strongly suggests an uncomplicated lower urinary tract infection rather than a kidney infection?
A patient with acute kidney injury has deep, rapid respirations and increasing drowsiness. Which assessment should the nurse perform first?
A 24-hour urine test is ordered for a patient. Which collection procedure is correct?
A patient with severe dehydration receives gentamicin and later develops rising serum creatinine and granular casts in the urine. Which type of acute kidney injury is most likely?
A patient with nephrotic syndrome has severe hypoalbuminemia and generalized edema. Which mechanism best explains the edema?