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 A
Explanation
A) This is the correct answer. Infection is a significant concern after TURP surgery due to the potential introduction of bacteria during the procedure or through catheterization. It can lead to urinary tract infections or systemic infections if not managed promptly.
B) Anemia may be a concern in some cases, but infection is a more immediate and potentially serious complication to address.
C) Weight gain and muscle weakness are not typical complications associated with TURP surgery.
Correct Answer is C
Explanation
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.
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