A client who underwent a TURP reports severe lower abdominal pain and difficulty urinating. The nurse observes blood clots in the client's urine bag. What action should the nurse take first?
Administer a pain reliever as ordered by the healthcare provider.
Notify the healthcare provider immediately about the client's symptoms.
Encourage the client to drink more fluids to dilute the urine.
Instruct the client to perform deep breathing exercises to manage pain.
The Correct Answer is B
A. Administering pain relief may be necessary, but the nurse's first action should be to notify the healthcare provider about the client's severe pain and other concerning symptoms.
B. This is the correct answer. Severe lower abdominal pain, difficulty urinating, and the presence of blood clots in the urine may indicate postoperative complications after TURP. The nurse should notify the healthcare provider immediately for further evaluation and intervention.
C. Encouraging the client to drink more fluids may be helpful, but it is not the first action when the client experiences severe pain and other concerning symptoms.
D. Deep breathing exercises can help manage pain, but the nurse should first address the client's acute symptoms and notify the healthcare provider for appropriate intervention.
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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 B
Explanation
A. While anesthesia can cause irritation, it is not the primary reason for removing dentures before TURP surgery.
B. This is the correct answer. Removing dentures reduces the risk of aspiration (inhaling fluids or secretions) during surgery, which can lead to serious complications.
C. While some hospitals may have policies about removing dentures, the main concern here is the safety and prevention of aspiration.
D. Leaving dentures in place during surgery may not interfere with surgical instruments directly, but the main concern is the risk of aspiration.
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