A client develops a fever, chills, and increased urinary frequency three days after TURP surgery. The nurse suspects a urinary tract infection (UTI). What is the nurse's priority intervention?
Administering prescribed antibiotics.
Encouraging increased fluid intake.
Monitoring vital signs and urine output.
Applying warm compresses to the abdomen.
The Correct Answer is A
A. This is the correct answer. The priority intervention for suspected UTI is to administer prescribed antibiotics to treat the infection and prevent its spread.
B. While increased fluid intake is essential, it is not the priority when the client is exhibiting signs of a UTI. Antibiotics should be given to address the infection promptly.
C. Monitoring vital signs and urine output is important, but the priority is to treat the infection with antibiotics.
D. Applying warm compresses to the abdomen may provide some comfort but does not address the underlying UTI.
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Related Questions
Correct Answer is B
Explanation
A. While encouraging fluid intake is important, severe pain during urination and inability to void after TURP surgery require further evaluation and intervention by the healthcare provider.
B. This is the correct answer. Severe pain and inability to void after TURP surgery may indicate a complication or urinary retention that requires immediate attention from the healthcare provider.
C. Documenting the client's complaints is essential, but the nurse should not delay notifying the healthcare provider about the client's symptoms.
D. Instructing the client to perform Kegel exercises is not the priority when the client is experiencing severe pain and inability to void after TURP surgery. The client's symptoms require prompt evaluation and intervention.
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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