A client is scheduled for a TURP and expresses concerns about potential sexual dysfunction after the procedure. How should the nurse respond to the client's concerns?
"TURP may lead to temporary sexual dysfunction, but it is usually reversible."
"Sexual dysfunction is a common complication after TURP, and there is no treatment for it."
"TURP has no impact on sexual function, so you need not worry about it."
"Sexual dysfunction is an expected and permanent outcome of TURP."
The Correct Answer is A
A. This is the correct answer. TURP can cause temporary sexual dysfunction due to the proximity of the prostate to the nerves and blood vessels that control sexual function. However, in many cases, sexual function improves over time as the surgical site heals.
B. While sexual dysfunction can occur after TURP, it is not a common complication, and there are potential treatment options available.
C. TURP can have an impact on sexual function, and it is essential for the client to be aware of this possibility.
D. Sexual dysfunction after TURP is typically temporary and not a permanent outcome.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Educating the client about postoperative care instructions is essential, but it is not the primary responsibility related to informed consent.
B. This is the correct answer. The nurse's primary responsibility is to ensure that the client is adequately informed about the risks, benefits, and alternatives to the surgery and that they provide voluntary and informed consent. The nurse witnesses the client's signature on the consent form to verify that the client understands and agrees to the procedure.
C. Explaining the surgical procedure is part of the informed consent process, but witnessing the client's signature is the primary responsibility related to informed consent.
D. Ensuring the client is medically fit for the surgery is crucial, but it is not the primary responsibility related to informed consent.
Correct Answer is D
Explanation
A. Increasing fluid intake is important, but excessive fluid consumption may put additional stress on the bladder and cause discomfort. The client should maintain adequate fluid intake without overhydration.
B. Limiting protein intake is not typically necessary after TURP surgery unless there are specific medical reasons for such restrictions.
C. This is not an appropriate recommendation. Foods that are high in fiber and whole grains are beneficial for overall health, including gastrointestinal function.
D. This is the correct answer. Consuming caffeine and alcohol in moderation is recommended after TURP surgery. These substances can act as diuretics, increasing the need to urinate and potentially causing discomfort for the client.
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