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 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.
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.
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