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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Administering pain medication may not be appropriate for these symptoms, as the client's condition requires immediate attention and assessment.
B. This is the correct answer. The sudden onset of tachycardia, hypotension, and confusion indicates a potential complication or adverse reaction that requires immediate intervention from the surgical and anesthesia teams.
C. Reassuring the client is important, but it is not the priority when the client is experiencing concerning symptoms.
D. Initiating a rapid infusion of intravenous fluids may not be appropriate without a proper assessment and evaluation of the client's condition. The priority is to inform the surgical and anesthesia teams to address the situation promptly.
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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