A client scheduled for TURP informs the nurse that they are taking anticoagulant medication. What is the nurse's priority action before the surgery?

Inform the healthcare provider about the client's medication.

Withhold all medications, including anticoagulants, on the day of the surgery.

Instruct the client to continue taking the anticoagulant as prescribed.

Administer a blood-thinning agent to counteract the anticoagulant effects.

Answer and Explanation

The Correct Answer is A

A. This is the correct answer. Informing the healthcare provider about the client's anticoagulant medication is crucial before surgery, as it can affect the surgical plan and potential bleeding risks during TURP.

B. Withholding all medications, including anticoagulants, should only be done under the direction of the healthcare provider and anesthesia team. Abruptly stopping anticoagulants can lead to significant medical risks.

C. Continuing the anticoagulant as prescribed may pose a bleeding risk during surgery, so it is essential to involve the healthcare provider in the decision.

D. Administering a blood-thinning agent to counteract the anticoagulant effects is not appropriate and can lead to complications. The healthcare provider should decide on the management of anticoagulation therapy before surgery.

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Correct Answer is A

Explanation

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.

A. "Clean the catheter with alcohol wipes daily." B. "Flush the catheter with sterile water every 4 hours." C. "Keep the catheter bag below the level of the bladder." D. "Replace the catheter every week to prevent infection."

Correct Answer is C

Explanation

A. Cleaning the catheter with alcohol wipes may irritate the urethra and increase the risk of infection. The catheter should not be cleaned with alcohol wipes.

B. Flushing the catheter with sterile water may introduce pathogens into the urinary tract and increase the risk of infection. The catheter should not be flushed with sterile water.

C. This is the correct answer. Keeping the catheter bag below the level of the bladder prevents urine from flowing back into the bladder, reducing the risk of infection.

D. The catheter should not be replaced weekly unless there is a specific indication for catheter change. Catheter replacement should be done according to the healthcare provider's instructions and protocols.

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A client scheduled for TURP informs the nurse that they are taking anticoagulant medication. What is the nurse's priority action before the surgery?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client scheduled for a TURP expresses concerns about potential complications after the surgery. Which complication should the nurse prioritize when providing preoperative education?

Correct Answer is A

Explanation

A nurse is instructing a client on how to care for the urinary catheter after TURP surgery. What should the nurse include in the instructions?

Correct Answer is C

Explanation

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