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 B
Explanation
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.
Correct Answer is C
Explanation
A. The prone position with the abdomen elevated is not the appropriate position for TURP surgery.
B. The supine position with the legs elevated is not the appropriate position for TURP surgery.
C. This is the correct answer. The lithotomy position with the feet in stirrups is the standard position for TURP surgery, as it provides access to the urinary tract for the procedure.
D. The lateral position with the affected side up is not the appropriate position for TURP surgery, as it does not provide the necessary access to the urinary tract.
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