The nurse performs a shift assessment on the patient who has been undergoing continuous bladder irrigation (CBI) following a transurethral resection of the prostate (TURP) for 3 days and notes the output to be an amber color. Which action by the nurse is most appropriate?

Ambulate the patient around the ward. After several days, the patient’s urine output turns from red to pink to amber. At this time, the patient can begin ambulation. It is not necessary to increase the patient’s fluid intake. Amber urine does not indicate hemorrhage or infection, which would be screened for with a complete blood count. Additionally, amber urine is expected, so reviewing the BUN and creatinine levels is not necessary.

The nurse performs a shift assessment on the patient who has been...

Category: Reduction of Risk Potential
Difficulty: 9

Topics: Assessment Disease Prevention Elimination Hematology/Oncology Mobility Nursing Interventions Sexuality and Reproduction

Want help? View the answer with rationale.

Additional Reduction of Risk Potential Questions

While individual labs vary, which is the normal range of thyroid-stimulating hormone (TSH) levels in healthy individuals?

Question Type: Multiple Choice - Select One
Difficulty: 2

The patient is receiving a transfusion of packed red blood cells. After 30 minutes, the patient complains of intense itching and flank pain. Upon assessment, the nurse notes a fever and tachycardia. Which of the following is the next best step in management?

Question Type: Multiple Choice - Select One
Difficulty: 3

The nurse is reviewing the patient’s urinalysis and notes the presence of rare epithelial cells. Which interpretation of this finding is correct?

Question Type: Multiple Choice - Select One
Difficulty: 4

Show Calculator

Want help? View the answer with rationale.

Rationale

Additional Reduction of Risk Potential Questions

Nursing Careers

Nursing Degrees

NCLEX