A client scheduled for TURP surgery asks the nurse about the type of anesthesia used during the procedure. What is the nurse's best response?

"You will be under general anesthesia during the surgery."

"TURP is usually done using spinal anesthesia."

"The surgeon will decide which anesthesia to use on the day of the surgery."

"You will be given local anesthesia for pain relief during the procedure."

Answer and Explanation

The Correct Answer is B

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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Correct Answer is C

Explanation

A. Discharging a client on the same day of TURP surgery is not common due to the need for monitoring and management of postoperative complications.

B. A hospital stay of about a week is more extended than usual for TURP surgery, which typically requires a shorter stay.

C. This is the correct answer. Most clients who undergo TURP can expect to stay in the hospital for 2 to 3 days for close postoperative monitoring and management of any complications.

D. Discharging a client on the same day of surgery is not standard practice for TURP, as immediate postoperative monitoring is necessary.

A. Increase the rate of intravenous fluids to maintain hydration. B. Clamp the catheter for 30 minutes to observe for improvement. C. Administer a bolus of fresh frozen plasma to replace clotting factors. D. Notify the healthcare provider immediately.

Correct Answer is D

Explanation

A. While maintaining hydration is important, the priority is to address the continuous bright red bleeding from the urinary catheter by notifying the healthcare provider immediately.

B. Clamping the catheter may obstruct urine flow and worsen the situation. The nurse should not intervene without healthcare provider guidance.

C. Administering fresh frozen plasma may be necessary in some situations, but it is not the immediate action for addressing continuous bleeding from the urinary catheter.

D. This is the correct answer. Continuous bright red bleeding from the urinary catheter after TURP surgery may indicate bleeding complications that require immediate intervention and evaluation by the healthcare provider.

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A client scheduled for TURP surgery asks the nurse about the type of anesthesia used during the procedure. What is the nurse's best response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client undergoing a TURP asks the nurse how long they can expect to remain in the hospital after the procedure. What is the nurse's best response?

Correct Answer is C

Explanation

A nurse is caring for a client after TURP surgery and notes continuous bright red bleeding from the urinary catheter. What is the nurse's immediate action?

Correct Answer is D

Explanation

A client who underwent a TURP asks the nurse when they can resume their regular activities. What should the nurse's response be?

A nurse is preparing a client for TURP surgery. The client asks, "Why is it important for me to remove my dentures before the procedure?" What is the nurse's best response?

A client develops signs of fluid overload, such as dyspnea, crackles in the lungs, and peripheral edema, after TURP surgery. What is the nurse's priority intervention?

A client is concerned about the potential complications after TURP surgery. Which complication is the most common postoperative concern for clients undergoing TURP?

A client undergoing TURP surgery develops a sudden onset of tachycardia, hypotension, and confusion. What is the nurse's priority action?

A client scheduled for TURP expresses anxiety and fear about the surgery. What should the nurse do to alleviate the client's anxiety?

A nurse is monitoring a client's fluid intake and output during TURP surgery. What is the primary reason for this assessment?

A nurse is providing postoperative care to a client after TURP surgery. What is the priority assessment for the client during the immediate postoperative period?