A client experiences persistent urinary incontinence after TURP surgery. What is the nurse's most appropriate intervention?
Encourage the client to perform pelvic floor exercises.
Apply a condom catheter to prevent leakage.
Insert an indwelling urinary catheter for continuous drainage.
Administer an anticholinergic medication to reduce bladder spasms.
The Correct Answer is A
A. This is the correct answer. Encouraging the client to perform pelvic floor exercises, also known as Kegel exercises, can help strengthen the pelvic floor muscles and improve urinary control after TURP surgery.
B. Applying a condom catheter may not address the underlying issue of urinary incontinence after TURP surgery. It is more appropriate for managing male urinary incontinence in other contexts.
C. Inserting an indwelling urinary catheter for continuous drainage is not the first-line intervention for urinary incontinence after TURP surgery. It may increase the risk of complications such as infection and should be used judiciously.
D. Administering an anticholinergic medication may be appropriate in some cases, but it is not
the primary intervention for urinary incontinence after TURP surgery. Pelvic floor exercises are a non-pharmacological approach to address the issue.
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Related Questions
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.
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.
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