A client asks the nurse about the expected postoperative catheter duration after TURP surgery. What is the nurse's best response?

"You will need to have the catheter in place for at least two weeks after the surgery."

"The catheter will be removed immediately after the surgery is completed."

"The catheter will remain in place until you can urinate normally without difficulty."

"The catheter will be removed the day after the surgery."

Answer and Explanation

The Correct Answer is C

A. Keeping the catheter in place for at least two weeks after TURP is not typical. The duration of catheterization varies depending on the client's recovery and ability to urinate.

B. The catheter is often necessary after TURP to drain the bladder and prevent urinary retention. It is usually removed once the client can urinate normally without difficulty.

C. This is the correct answer. The catheter will remain in place until the client can urinate normally without difficulty, which typically occurs once the swelling and inflammation in the urinary tract subside.

D. Removing the catheter the day after surgery may not be appropriate, as the client may still have difficulty urinating due to the effects of the surgery. The removal of the catheter is based on the client's ability to urinate comfortably and effectively.

Questions

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Correct Answer is C

Explanation

A. The prone position with the abdomen elevated is not the appropriate position for TURP surgery.

B. The supine position with the legs elevated is not the appropriate position for TURP surgery.

C. This is the correct answer. The lithotomy position with the feet in stirrups is the standard position for TURP surgery, as it provides access to the urinary tract for the procedure.

D. The lateral position with the affected side up is not the appropriate position for TURP surgery, as it does not provide the necessary access to the urinary tract.

Questions

A. To maintain strict fluid restrictions to prevent overhydration. B. To prevent dehydration during the surgical procedure. C. To ensure proper irrigation of the surgical site with fluid. D. To monitor for potential complications like fluid overload or imbalance.

Correct Answer is D

Explanation

A. Maintaining strict fluid restrictions may not be necessary during TURP surgery and can lead to dehydration.

B. Preventing dehydration is essential, but the primary reason for fluid intake and output monitoring is to detect potential complications related to fluid overload or imbalance.

C. While proper irrigation of the surgical site is essential, fluid intake and output monitoring serve a broader purpose of assessing overall fluid balance and preventing complications.

D. This is the correct answer. Monitoring fluid intake and output during TURP surgery allows the nurse to assess for signs of fluid overload or imbalance, which can occur due to irrigation fluids and potential bleeding.

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A client asks the nurse about the expected postoperative catheter duration after TURP surgery. What is the nurse's best response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is positioning a client for TURP surgery. What is the best position for the client during the procedure?

Correct Answer is C

Explanation

A nurse is monitoring a client's fluid intake and output during TURP surgery. What is the primary reason for this assessment?

Correct Answer is D

Explanation

A client is experiencing postoperative pain after TURP surgery. What is the nurse's most appropriate intervention to manage the pain?

A client undergoing TURP surgery experiences bladder perforation during the procedure. What is the nurse's immediate action?

A client scheduled for a TURP expresses concerns about potential complications after the surgery. Which complication should the nurse prioritize when providing preoperative education?

A nurse is providing dietary guidelines to a client after TURP surgery. Which dietary recommendation should the nurse include?

A client who underwent a TURP asks the nurse when they can resume their regular activities. What should the nurse's response be?

A client is scheduled for a TURP and expresses concerns about potential sexual dysfunction after the procedure. How should the nurse respond to the client's concerns?

A client who underwent a TURP reports severe lower abdominal pain and difficulty urinating. The nurse observes blood clots in the client's urine bag. What action should the nurse take first?

A client scheduled for TURP informs the nurse that they are taking anticoagulant medication. What is the nurse's priority action before the surgery?