Question

The nurse has just received a postoperative patient to the floor postureteral stone manipulation. Choose the priority nursing diagnosis.

1) Risk for urinary retention r/t general anesthesia and trauma to ureter
2) Pain, acute r/t recent surgical procedure and verbalization of pain of 4 on scale 0-10
3) Risk for bleeding r/t surgical site injury
4) Comfort, impaired r/t inability to urinate and verbalization "I am beginning to feel full"

Answer 1

The priority nursing diagnosis for a postoperative patient after ureteral stone manipulation should be Risk for urinary retention due to effects of anesthesia and surgical trauma.

Step-by-step explanation:

The nursing priority diagnosis for a patient who has just undergone post-ureteral stone manipulation would most likely be Risk for urinary retention related to general anesthesia and trauma to the ureter. This is because anesthesia can impair normal bladder function and the trauma from surgery could lead to swelling or obstruction, which in turn causes retention. Additionally, considering that the patient is beginning to feel full, this indicates a potential issue with urinary function. Thus, addressing this risk is essential for preventing complications such as infection, further trauma, or impaired renal function.