A client undergoing TURP surgery experiences bladder perforation during the procedure. What is the nurse's immediate action?
Inform the surgeon and anesthesia team about the complication.
Notify the client's family about the unexpected turn of events.
Document the incident in the client's medical record after the surgery.
Administer pain medication to the client to alleviate any discomfort.
The Correct Answer is A
A. This is the correct answer. Bladder perforation is a significant complication that requires immediate attention. The nurse should inform the surgical team to address the situation promptly.
B. Notifying the client's family about the complication is not the immediate action. The priority is to inform the surgical team and manage the situation.
C. While documentation is essential, it is not the immediate action required in this critical situation.
D. Administering pain medication may be necessary, but the priority is to address the bladder perforation and involve the surgical team to manage the complication.
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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 A
Explanation
A. This is the correct answer. Encouraging the client to perform pelvic floor exercises, also known as Kegel exercises, can help strengthen the pelvic floor muscles and improve urinary control after TURP surgery.
B. Applying a condom catheter may not address the underlying issue of urinary incontinence after TURP surgery. It is more appropriate for managing male urinary incontinence in other contexts.
C. Inserting an indwelling urinary catheter for continuous drainage is not the first-line intervention for urinary incontinence after TURP surgery. It may increase the risk of complications such as infection and should be used judiciously.
D. Administering an anticholinergic medication may be appropriate in some cases, but it is not
the primary intervention for urinary incontinence after TURP surgery. Pelvic floor exercises are a non-pharmacological approach to address the issue.
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