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?
Encourage the client to drink more fluids to promote urine flow.
Notify the healthcare provider about the client's symptoms.
Document the client's complaints and reassess in a few hours.
Instruct the client to perform Kegel exercises to strengthen the pelvic muscles.
The Correct Answer is B
A. While encouraging fluid intake is important, severe pain during urination and inability to void after TURP surgery require further evaluation and intervention by the healthcare provider.
B. This is the correct answer. Severe pain and inability to void after TURP surgery may indicate a complication or urinary retention that requires immediate attention from the healthcare provider.
C. Documenting the client's complaints is essential, but the nurse should not delay notifying the healthcare provider about the client's symptoms.
D. Instructing the client to perform Kegel exercises is not the priority when the client is experiencing severe pain and inability to void after TURP surgery. The client's symptoms require prompt evaluation and intervention.
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Related Questions
Correct Answer is B
Explanation
A. While erectile dysfunction can occur after TURP surgery, it is not accurate to describe it as a "common" complication. The actual incidence varies among individuals.
B. This is the correct answer. Erectile dysfunction is a possible complication after TURP surgery due to the proximity of nerves involved in erectile function. However, it is often temporary and resolves within a few months as the body heals.
C. TURP surgery can have an impact on erectile function due to its proximity to the nerves and structures involved in sexual function.
D. It is not appropriate for the nurse to dismiss the client's concerns. Erectile dysfunction is a valid concern for many clients undergoing TURP surgery.
Correct Answer is D
Explanation
A. Maintaining strict fluid restrictions may not be necessary during TURP surgery and can lead to dehydration.
B. Preventing dehydration is essential, but the primary reason for fluid intake and output monitoring is to detect potential complications related to fluid overload or imbalance.
C. While proper irrigation of the surgical site is essential, fluid intake and output monitoring serve a broader purpose of assessing overall fluid balance and preventing complications.
D. This is the correct answer. Monitoring fluid intake and output during TURP surgery allows the nurse to assess for signs of fluid overload or imbalance, which can occur due to irrigation fluids and potential bleeding.
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