A client reports a sensation of incomplete bladder emptying and a feeling of "fullness" in the lower abdomen. The nurse should document this as:

Urinary retention

Urinary urgency

Urinary frequency

Nocturia

Answer and Explanation

The Correct Answer is A

A. This is the correct answer. Urinary retention refers to the inability to completely empty the bladder, leading to a sensation of fullness in the lower abdomen and difficulty voiding.

B. Urinary urgency is the sudden and strong desire to urinate.

C. Urinary frequency is the need to urinate more often than usual.

D. Nocturia is the need to wake up at night to urinate.

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Correct Answer is B

Explanation

A. Resuming normal activities immediately after a TURP is not recommended. The client should gradually resume activities as advised by the healthcare provider.

B. This is the correct answer. After a TURP, the client is at risk of developing a UTI due to catheter use and bladder manipulation. The nurse should monitor for signs of infection, such as fever, dysuria, or cloudy urine.

C. Avoiding all fluid intake for 24 hours is not appropriate, as it can lead to dehydration and other complications. Adequate hydration is essential for postoperative recovery.

D. Administering anticoagulant medications may not be necessary after a TURP unless specifically ordered by the healthcare provider. The nurse should follow the prescribed medication regimen and monitor for bleeding complications.

A. "You should clamp the catheter when you're feeling the urge to urinate." B. "Cleanse around the catheter insertion site daily with alcohol." C. "Secure the catheter to your leg using a safety pin." D. "Report any signs of catheter blockage or leakage to your healthcare provider."

Correct Answer is D

Explanation

A. Clamping the catheter is not recommended, as it can cause urinary retention and obstruct urine flow.

B. Cleansing around the catheter insertion site with alcohol is not recommended, as it may cause skin irritation. The site should be cleaned with mild soap and water.

C. Securing the catheter to the leg with a safety pin is not recommended, as it may cause trauma to the catheter and increase the risk of infection.

D. This is the correct answer. Clients should be instructed to report any signs of catheter blockage or leakage to their healthcare provider. Catheter blockage can lead to urinary retention, and leakage may indicate a problem with the catheter or the drainage system.

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A client reports a sensation of incomplete bladder emptying and a feeling of "fullness" in the lower abdomen. The nurse should document this as:

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who underwent a transurethral resection of the prostate (TURP) for BPH. Which intervention should the nurse include in the postoperative care plan?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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