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 A

Explanation

A. This is the correct answer. Informing the healthcare provider about the client's anticoagulant medication is crucial before surgery, as it can affect the surgical plan and potential bleeding risks during TURP.

B. Withholding all medications, including anticoagulants, should only be done under the direction of the healthcare provider and anesthesia team. Abruptly stopping anticoagulants can lead to significant medical risks.

C. Continuing the anticoagulant as prescribed may pose a bleeding risk during surgery, so it is essential to involve the healthcare provider in the decision.

D. Administering a blood-thinning agent to counteract the anticoagulant effects is not appropriate and can lead to complications. The healthcare provider should decide on the management of anticoagulation therapy before surgery.

A. Erectile dysfunction B. Incontinence C. Hematuria D. Retrograde ejaculation

Correct Answer is C

Explanation

A. Erectile dysfunction may be a concern after TURP, but it is not the most common postoperative complication.

B. Incontinence can occur after TURP, but it is not the most common postoperative complication.

C. This is the correct answer. Hematuria, or blood in the urine, is the most common postoperative concern for clients undergoing TURP. It is expected for a short period after the surgery and should gradually improve.

D. Retrograde ejaculation may occur after TURP, but it is not the most common postoperative complication.

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

Correct Answer is A

Explanation

A client is concerned about the potential complications after TURP surgery. Which complication is the most common postoperative concern for clients undergoing TURP?

Correct Answer is C

Explanation

A nurse is caring for a client after TURP surgery and notes continuous bright red bleeding from the urinary catheter. What is the nurse's immediate action?

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