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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) This response is not accurate. TURP is primarily performed for benign prostatic hyperplasia (BPH) or prostate enlargement and not for prostate cancer removal.
B) This is the correct answer. TURP is a surgical procedure that involves removing a portion of the prostate gland to alleviate urinary symptoms caused by BPH, such as urinary frequency, urgency, and difficulty in urination.
C) This statement is not accurate. TURP is a therapeutic procedure, not a diagnostic one.
D) This response is incorrect. TURP is a surgical procedure and does not involve catheter insertion for drainage.
Correct Answer is C
Explanation
A. Cleaning the catheter with alcohol wipes may irritate the urethra and increase the risk of infection. The catheter should not be cleaned with alcohol wipes.
B. Flushing the catheter with sterile water may introduce pathogens into the urinary tract and increase the risk of infection. The catheter should not be flushed with sterile water.
C. This is the correct answer. Keeping the catheter bag below the level of the bladder prevents urine from flowing back into the bladder, reducing the risk of infection.
D. The catheter should not be replaced weekly unless there is a specific indication for catheter change. Catheter replacement should be done according to the healthcare provider's instructions and protocols.
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.