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.
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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Related Questions
Correct Answer is C
Explanation
A. While the client's marital status and family support are important aspects of the client's life, they are not directly related to the client's readiness for TURP surgery.
B. The client's dietary preferences and meal schedule are important for overall health but are not the priority during the preoperative assessment for TURP.
C. This is the correct answer. The nurse should prioritize assessing the client's allergies and medication history to identify any potential risks or adverse reactions during the surgical procedure and anesthesia.
D. The client's educational background and employment status may not be directly relevant to TURP surgery and are not the priority during the preoperative assessment.
Correct Answer is C
Explanation
A. Erectile dysfunction may be a concern after TURP, but it is not the most common postoperative complication.
B. Incontinence can occur after TURP, but it is not the most common postoperative complication.
C. This is the correct answer. Hematuria, or blood in the urine, is the most common postoperative concern for clients undergoing TURP. It is expected for a short period after the surgery and should gradually improve.
D. Retrograde ejaculation may occur after TURP, but it is not the most common postoperative complication.
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