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 A
Explanation
A. This is the correct answer. Bladder perforation is a significant complication that requires immediate attention. The nurse should inform the surgical team to address the situation promptly.
B. Notifying the client's family about the complication is not the immediate action. The priority is to inform the surgical team and manage the situation.
C. While documentation is essential, it is not the immediate action required in this critical situation.
D. Administering pain medication may be necessary, but the priority is to address the bladder perforation and involve the surgical team to manage the complication.
Correct Answer is B
Explanation
A. General anesthesia may not be necessary for TURP surgery, as it is typically performed using regional anesthesia like spinal or epidural anesthesia.
B. This is the correct answer. TURP surgery is usually done using spinal anesthesia, which numbs the lower part of the body, allowing the client to remain awake during the procedure while avoiding pain and discomfort.
C. The of anesthesia is usually determined before the day of the surgery based on the client's medical history and surgical plan.
D. Local anesthesia alone may not be sufficient for pain relief during TURP surgery, as it involves a more extensive procedure that requires regional anesthesia to achieve better pain control.
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