The nurse recognizes that a client recovering from anesthesia required for surgical repair of a fractured ulna is likely to experience difficulty urinating primarily because of:
1. The impaired cognitive state the client will experience as the effects of the anes-thesia wear off
2. The decreased volume of orally ingested fluids before, during, and after the sur-gical procedure
3. The length of time the client was under the effects of general anesthesia required for the surgical procedure
4. The effects of the anesthetic on the nerves and muscles controlling the relaxation of the urinary bladder
ANS: 4
Medications, including anesthesia, interfere with both the production and the characteristics of urine and affect the act of urination. The remaining options may affect urination but not to the extent of the anesthetic effects.
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