A client scheduled for a TURP expresses concerns about potential complications after the surgery. Which complication should the nurse prioritize when providing preoperative education?
Infection
Anemia
Weight gain
Muscle weakness
The Correct Answer is A
A) This is the correct answer. Infection is a significant concern after TURP surgery due to the potential introduction of bacteria during the procedure or through catheterization. It can lead to urinary tract infections or systemic infections if not managed promptly.
B) Anemia may be a concern in some cases, but infection is a more immediate and potentially serious complication to address.
C) Weight gain and muscle weakness are not typical complications associated with TURP surgery.
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Correct Answer is C
Explanation
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.
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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