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. The prone position with the abdomen elevated is not the appropriate position for TURP surgery.
B. The supine position with the legs elevated is not the appropriate position for TURP surgery.
C. This is the correct answer. The lithotomy position with the feet in stirrups is the standard position for TURP surgery, as it provides access to the urinary tract for the procedure.
D. The lateral position with the affected side up is not the appropriate position for TURP surgery, as it does not provide the necessary access to the urinary tract.
Questions
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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