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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Discharging a client on the same day of TURP surgery is not common due to the need for monitoring and management of postoperative complications.
B. A hospital stay of about a week is more extended than usual for TURP surgery, which typically requires a shorter stay.
C. This is the correct answer. Most clients who undergo TURP can expect to stay in the hospital for 2 to 3 days for close postoperative monitoring and management of any complications.
D. Discharging a client on the same day of surgery is not standard practice for TURP, as immediate postoperative monitoring is necessary.
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.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.