Practice Question
A nurse is caring for a client who is 6 hours postoperative following abdominal surgery and is having difficulty voiding. Which of the following actions should the nurse take?
Answer Choices:
Correct Answer:
Insert an indwelling urinary catheter and connect it to gravity drainage.
Rationale:
✍Postoperative clients may experience urinary retention due to the effects of anesthesia, stress, or immobility.
✍The sound of running water activates the parasympathetic nervous system, which stimulates the micturition reflex and promotes relaxation of the urinary sphincter, making voiding easier.
✍This non-invasive intervention is a first-line nursing strategy that supports restoration of normal elimination patterns.
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This question is from RN Fundamentals~2023 Exam 5 which contains 60 questions.
More Questions from This Exam
A charge nurse is observing a staff nurse performing wound irrigation for a client who has a pressure injury. Which of the following actions by the staff nurse indicates an understanding of the procedure?
Answer Choices:
A. Refrigerates the solution before irrigation
B. Administers an analgesic medication 5 minutes before starting irrigation
C. Uses one pair of gloves for dressing removal and irrigation
D. Uses a syringe with a catheter for wound irrigation
A nurse is ambulating a client who is unsteady. The client begins to fall. Which of the following actions should the nurse take?
Answer Choices:
A. Move quickly to a position in front of the client.
B. Remain upright as the client falls toward them.
C. Allow the client to slide down their outstretched leg
D. Place their arms around the client to prevent the fall.
A nurse enters a client's room and finds the client on the floor having a seizure. Which of the following actions should the nurse take?
Answer Choices:
A. Lift the client to the bed with assistance.
B. Turn the client onto their back.
C. Clear the nearby area of furniture.
D. Place a tongue depressor in the client's mouth.
A nurse is performing an eye assessment for a newly admitted client. Which of the following findings should the nurse expect?
Answer Choices:
A. Eyelashes that curl slightly outward.
B. Corneas with an opaque appearance.
C. Eyelids that blink involuntarily 30 to 35 times per minute.
D. Pupils that are 8 to 9 mm in diameter.
A nurse is caring for a postoperative client. Which of the following findings indicate the client may be actively bleeding?
Answer Choices:
A. Bounding pulses
B. Restlessness
C. Warm skin
D. Brisk capillary refill
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Fundamentals of Nursing
- Answer Choices: 4
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