The Nurse Is Caring for a Postoperative Client Who Has

question 20

Multiple Choice

The nurse is caring for a postoperative client who has not voided for 7 hours after return to the postsurgical unit. Which of the following actions should the nurse take first?

• A)Notify the surgeon.
• B)Assess for bladder distension.
• C)Assist the client to ambulate to the bathroom.
• D)Insert a straight catheter as indicated on the PRN order.

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Definitions:

Renal Pyramid

Cone-shaped tissues of the kidneys, containing the tubules and blood vessels responsible for filtering blood and producing urine.

Renal Cortex

The outer region of the kidney where ultrafiltration occurs, composed of nephrons and blood vessels.

Renal Column

Cortical tissue extensions between the renal pyramids in the kidney, involved in urine production.

Transitional Epithelium

A type of tissue consisting of multiple layers of epithelial cells that can contract and expand, found in areas such as the bladder.