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 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 D
Explanation
A. Resuming regular activities immediately after discharge may not be advisable, as the client needs time to recover and heal from the surgical procedure.
B. While the client may need to limit certain activities, waiting for a week before resuming any activities is not necessary in most cases.
C. Avoiding all physical activities is not necessary, and it may lead to deconditioning and delayed recovery.
D. This is the correct answer. The client should gradually resume their regular activities as they tolerate, but they should avoid heavy lifting and strenuous exercises for a few weeks to promote healing and prevent complications after TURP.
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