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 C
Explanation
A. While the client's marital status and family support are important aspects of the client's life, they are not directly related to the client's readiness for TURP surgery.
B. The client's dietary preferences and meal schedule are important for overall health but are not the priority during the preoperative assessment for TURP.
C. This is the correct answer. The nurse should prioritize assessing the client's allergies and medication history to identify any potential risks or adverse reactions during the surgical procedure and anesthesia.
D. The client's educational background and employment status may not be directly relevant to TURP surgery and are not the priority during the preoperative assessment.
Correct Answer is B
Explanation
A. While anesthesia can cause irritation, it is not the primary reason for removing dentures before TURP surgery.
B. This is the correct answer. Removing dentures reduces the risk of aspiration (inhaling fluids or secretions) during surgery, which can lead to serious complications.
C. While some hospitals may have policies about removing dentures, the main concern here is the safety and prevention of aspiration.
D. Leaving dentures in place during surgery may not interfere with surgical instruments directly, but the main concern is the risk of aspiration.
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