A client develops signs of fluid overload, such as dyspnea, crackles in the lungs, and peripheral edema, after TURP surgery. What is the nurse's priority intervention?

Administering diuretics to promote urine output and fluid elimination.

Elevating the head of the bed and providing oxygen therapy as needed.

Encouraging the client to limit fluid intake to prevent further overload.

Restricting sodium intake in the client's diet.

Answer and Explanation

The Correct Answer is B

A. Administering diuretics may be necessary, but the priority is to improve respiratory distress and oxygenation by elevating the head of the bed and providing oxygen therapy.

B. This is the correct answer. The priority intervention for signs of fluid overload is to improve respiratory function and oxygenation by elevating the head of the bed and providing oxygen therapy as needed.

C. Encouraging the client to limit fluid intake is not the priority when the client is experiencing signs of fluid overload. The focus should be on improving respiratory function.

D. Restricting sodium intake may be appropriate in some cases, but the priority is to address the respiratory distress associated with fluid overload.

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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.

A. "TURP may lead to temporary sexual dysfunction, but it is usually reversible." B. "Sexual dysfunction is a common complication after TURP, and there is no treatment for it." C. "TURP has no impact on sexual function, so you need not worry about it." D. "Sexual dysfunction is an expected and permanent outcome of TURP."

Correct Answer is A

Explanation

A. This is the correct answer. TURP can cause temporary sexual dysfunction due to the proximity of the prostate to the nerves and blood vessels that control sexual function. However, in many cases, sexual function improves over time as the surgical site heals.

B. While sexual dysfunction can occur after TURP, it is not a common complication, and there are potential treatment options available.

C. TURP can have an impact on sexual function, and it is essential for the client to be aware of this possibility.

D. Sexual dysfunction after TURP is typically temporary and not a permanent outcome.

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A client develops signs of fluid overload, such as dyspnea, crackles in the lungs, and peripheral edema, after TURP surgery. What is the nurse's priority intervention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is A

Explanation

A client undergoing a TURP asks the nurse how long they can expect to remain in the hospital after the procedure. What is the nurse's best response?

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

A client experiences persistent urinary incontinence after TURP surgery. What is the nurse's most appropriate intervention?

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 undergoing TURP surgery develops a sudden onset of tachycardia, hypotension, and confusion. What is the nurse's priority action?

A client scheduled for TURP expresses anxiety and fear about the surgery. What should the nurse do to alleviate the client's anxiety?

A nurse is preparing a client for TURP surgery. The client asks, "Why is it important for me to remove my dentures before the procedure?" What is the nurse's best response?

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