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?
"You will be discharged the same day of the surgery."
"You may need to stay in the hospital for about a week."
"Plan to stay in the hospital for at least 2 to 3 days."
"Hospital stay is usually reserved for patients with complications, so you may go home the same day."
The Correct Answer is C
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.
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Related Questions
Correct Answer is B
Explanation
A. Educating the client about postoperative care instructions is essential, but it is not the primary responsibility related to informed consent.
B. This is the correct answer. The nurse's primary responsibility is to ensure that the client is adequately informed about the risks, benefits, and alternatives to the surgery and that they provide voluntary and informed consent. The nurse witnesses the client's signature on the consent form to verify that the client understands and agrees to the procedure.
C. Explaining the surgical procedure is part of the informed consent process, but witnessing the client's signature is the primary responsibility related to informed consent.
D. Ensuring the client is medically fit for the surgery is crucial, but it is not the primary responsibility related to informed consent.
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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