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

Administer pain medication to address any discomfort.

Inform the surgeon and anesthesia team immediately.

Reassure the client that these symptoms are expected.

Initiate a rapid infusion of intravenous fluids.

Answer and Explanation

The Correct Answer is B

A. Administering pain medication may not be appropriate for these symptoms, as the client's condition requires immediate attention and assessment.

B. This is the correct answer. The sudden onset of tachycardia, hypotension, and confusion indicates a potential complication or adverse reaction that requires immediate intervention from the surgical and anesthesia teams.

C. Reassuring the client is important, but it is not the priority when the client is experiencing concerning symptoms.

D. Initiating a rapid infusion of intravenous fluids may not be appropriate without a proper assessment and evaluation of the client's condition. The priority is to inform the surgical and anesthesia teams to address the situation promptly.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A. This is the correct answer. Administering pain medication as prescribed by the healthcare provider is the most appropriate intervention to manage postoperative pain after TURP surgery.

B. Deep breathing exercises are helpful for preventing respiratory complications, but they may not be sufficient for managing postoperative pain.

C. Applying a heating pad to the surgical site is not recommended as it may increase the risk of bleeding and other complications.

D. While distractions can provide some comfort, they may not be enough to effectively manage postoperative pain. Pain medication is the primary intervention.

A. Administering diuretics to promote urine output and fluid elimination. B. Elevating the head of the bed and providing oxygen therapy as needed. C. Encouraging the client to limit fluid intake to prevent further overload. D. Restricting sodium intake in the client's diet.

Correct Answer is B

Explanation

A. Administering diuretics may be necessary, but the priority is to improve respiratory distress and oxygenation by elevating the head of the bed and providing oxygen therapy.

B. This is the correct answer. The priority intervention for signs of fluid overload is to improve respiratory function and oxygenation by elevating the head of the bed and providing oxygen therapy as needed.

C. Encouraging the client to limit fluid intake is not the priority when the client is experiencing signs of fluid overload. The focus should be on improving respiratory function.

D. Restricting sodium intake may be appropriate in some cases, but the priority is to address the respiratory distress associated with fluid overload.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is experiencing postoperative pain after TURP surgery. What is the nurse's most appropriate intervention to manage the pain?

Correct Answer is A

Explanation

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?

Correct Answer is B

Explanation

A client is scheduled for a TURP and expresses concerns about potential sexual dysfunction after the procedure. How should the nurse respond to the client's concerns?

A nurse is providing discharge instructions to a client after TURP surgery. The client asks, "When can I resume driving?" What is the nurse's best response?

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?

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?

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

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 who underwent TURP surgery reports severe pain during urination and inability to void despite the removal of the catheter. What is the nurse's best action?