A client has just undergone a prostatectomy for benign prostatic hyperplasia (BPH). Which of the following nursing interventions is most important in the immediate post-operative period?
Encourage deep breathing and coughing exercises to prevent atelectasis.
Maintain the client on strict bed rest for the first 48 hours after surgery,
Ensure that the client's indwelling catheter is patent and draining freely.
Monitor for signs of infection, such as fever and redness at the surgical site.
The Correct Answer is C
Rationale:
A. Deep breathing and coughing exercises are important but ensuring catheter patency is more critical immediately post-prostatectomy to prevent urinary retention and bladder distention.
B. Strict bed rest is generally not required; early ambulation is encouraged to reduce complications.
C. Maintaining a patent indwelling catheter is essential after prostatectomy to prevent urinary obstruction, bladder distension, and potential damage to the surgical site.
D. Monitoring for infection is important but is a routine ongoing assessment rather than the immediate priority.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Eating foods at room temperature helps reduce strong odors, which can trigger nausea in clients undergoing chemotherapy or radiation. This shows appropriate understanding.
B. Increasing unsaturated fats has no specific role in managing nausea and may even contribute to gastrointestinal discomfort.
C. While smaller meals are generally helpful, this statement is incomplete and less precise compared to option A. It lacks detail about food temperature or type.
D. Drinking large amounts of liquids with meals can contribute to feeling full too quickly and may worsen nausea. It’s better to drink fluids between meals.
Correct Answer is D
Explanation
Rationale:
A. Fistula formation is common in Crohn’s disease but rare in ulcerative colitis.
B. Crohn’s disease more frequently leads to surgical intervention due to complications, whereas surgery in ulcerative colitis is often curative.
C. Ulcerative colitis begins in the rectum and progresses upward, but Crohn’s disease can affect any part of the gastrointestinal tract, from mouth to anus.
D. Both ulcerative colitis and Crohn’s disease are forms of inflammatory bowel disease (IBD), characterized by chronic inflammation of the gastrointestinal tract.
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