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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
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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