A client is experiencing urinary urgency and frequency after TURP surgery. What is the nurse's best intervention to address this issue?
Encourage the client to delay voiding whenever possible.
Limit the client's fluid intake to reduce urinary output.
Administer an anticholinergic medication as prescribed.
Instruct the client to avoid performing Kegel exercises.
The Correct Answer is C
A. Encouraging the client to delay voiding may lead to urinary retention and increase the risk of complications. This is not an appropriate intervention for urinary urgency and frequency after TURP surgery.
B. Limiting fluid intake may lead to dehydration and affect the overall health of the client. Adequate fluid intake is important for proper healing and preventing complications after TURP surgery.
C. This is the correct answer. Anticholinergic medications can help reduce urinary urgency and frequency by relaxing the bladder muscles and reducing bladder spasms.
D. Kegel exercises are helpful for strengthening the pelvic floor muscles but may not be the best intervention for addressing urinary urgency and frequency after TURP surgery. Anticholinergic medications are more appropriate in this case.
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Related Questions
Correct Answer is C
Explanation
A. Keeping the catheter in place for at least two weeks after TURP is not typical. The duration of catheterization varies depending on the client's recovery and ability to urinate.
B. The catheter is often necessary after TURP to drain the bladder and prevent urinary retention. It is usually removed once the client can urinate normally without difficulty.
C. This is the correct answer. The catheter will remain in place until the client can urinate normally without difficulty, which typically occurs once the swelling and inflammation in the urinary tract subside.
D. Removing the catheter the day after surgery may not be appropriate, as the client may still have difficulty urinating due to the effects of the surgery. The removal of the catheter is based on the client's ability to urinate comfortably and effectively.
Questions
Correct Answer is B
Explanation
A. While anesthesia can cause irritation, it is not the primary reason for removing dentures before TURP surgery.
B. This is the correct answer. Removing dentures reduces the risk of aspiration (inhaling fluids or secretions) during surgery, which can lead to serious complications.
C. While some hospitals may have policies about removing dentures, the main concern here is the safety and prevention of aspiration.
D. Leaving dentures in place during surgery may not interfere with surgical instruments directly, but the main concern is the risk of aspiration.
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