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 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.
Correct Answer is A
Explanation
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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