After surgery, a patient cannot urinate and reports lower-abdominal pressure. What is the safest initial response?
3 Urinary Retention and Integrated Postoperative Risk Review Online Quiz Questions
Use this free practice quiz with 20 questions to review 3 Urinary Retention and Integrated Postoperative Risk Review, test your knowledge, and prepare for your next test or exam.
Anesthesia, pain, shallow breathing, and immobility can contribute to after surgery.
Besides being unable to urinate, name one symptom that can occur with postoperative urinary retention.
A postoperative patient has voided only a small amount and still feels bladder pressure. What can a bladder scan help the care team determine?
- A
It confirms whether the patient has a urinary infection.
- B
It estimates bladder volume or urine remaining after a void to help guide whether catheterization is needed.
- C
It directly measures kidney function.
- D
It replaces the need to measure or document urine output.
A patient is checking a surgical wound at home. Select all changes that warrant prompt contact with the surgical team.
- A
The wound is becoming more swollen.
- B
The incision is closed and soreness is gradually improving.
- C
The wound has begun to open or deepen.
- D
The dressing remains clean and dry.
- E
Pain at the wound is new or worsening.
True or false: Sudden difficulty breathing with chest pain after surgery may indicate a pulmonary embolism and requires emergency response.
- A
True
- B
False
A patient develops one-sided calf swelling, warmth, and pain after surgery. What possible condition should the care team evaluate?
A postoperative patient has a new change at the incision. Select all findings that may indicate a surgical-site infection.
- A
Increasing redness or pain at the incision
- B
A clean, dry dressing with no change
- C
Brief drowsiness after pain medicine
- D
Drainage from the incision
- E
Gradually improving incisional soreness
Because indwelling catheters can increase infection risk, remove them as soon as they are no longer .
After surgery, a dressing stain is rapidly enlarging and the patient feels faint. What is the appropriate response?
- A
Wait for the next routine appointment, even if the stain continues to grow.
- B
Report the concerning bleeding promptly; seek emergency response for severe bleeding or collapse.
- C
Remove the dressing and leave the wound uncovered without contacting the care team.
- D
Encourage the patient to walk until the bleeding stops.
True or false: If a postoperative patient feels weak or dizzy, they should get up alone to maintain mobility.
- A
True
- B
False
A postoperative patient feels weak and dizzy after taking pain medicine. Explain what they should do before getting up and how the medicine relates to fall risk.
A postoperative patient remains unable to urinate after initial assessment. Which approach best balances evaluation and catheter-related risk?
- A
Follow the organization’s assessment and escalation protocol; catheterize only when indicated and as ordered or authorized by protocol.
- B
Insert an indwelling catheter immediately for every patient who cannot urinate.
- C
Restrict all fluids without clinical direction.
- D
Leave a urinary catheter in place indefinitely once inserted.
True or false: If a patient feels weak or dizzy after surgery, they should ask for help before getting up.
- A
True
- B
False
A patient is recovering after surgery and is permitted to mobilize. Which plan best supports respiratory recovery and reduces risks related to immobility?
- A
Remain in bed and avoid deep breaths.
- B
Follow instructions for getting upright, moving, coughing, and taking deep breaths.
- C
Skip movement until all pain has resolved.
- D
Avoid coughing after surgery, even when instructed to cough.
A patient reports nausea and drowsiness after surgery. Which medication-related response is safest?
- A
Take an extra dose if nausea occurs.
- B
Stop all prescribed medicines without consulting the care team.
- C
Take medicines only as directed and report concerning effects.
- D
Use another person's medicine if constipation develops.
After surgery, a dressing stain is rapidly enlarging and the patient feels weak. What should happen?
- A
Wait to report it unless the dressing becomes completely soaked.
- B
Report the increasing stain and the patient's weakness promptly.
- C
Remove the dressing and leave the site uncovered without seeking advice.
- D
Encourage the patient to walk so the bleeding can be reassessed.
A patient has not urinated since surgery and reports lower-abdominal pressure. What is the best initial response?
- A
Assess the last void and symptoms, then follow the unit's bladder-assessment protocol.
- B
Insert an indwelling catheter immediately without assessment or an order.
- C
Assume retention is harmless if the patient has no severe pain.
- D
Ask the patient to strain forcefully and wait without further assessment.
What is the term for the urine remaining in the bladder after a patient has voided?
What condition occurs when a blood clot travels to the lungs?
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