A common nursing diagnosis for a client in the immediate postoperative phase after transurethral resection of the prostate (TURP) is:

Ineffective peripheral tissue perfusion related to deep vein thrombosis

Acute pain related to pain of bladder spasms

Disturbed body image related the disfiguring surgery

Imbalanced nutrition, less than body requirements

Answer and Explanation

The Correct Answer is B

A. While monitoring for complications such as DVT is necessary, it is not the primary concern in the immediate postoperative phase.
B. Acute pain related to bladder spasms is a common postoperative issue for TURP patients due to the urinary catheter and bladder irrigation. Managing pain is a priority for patient comfort and recovery.
C. TURP does not typically lead to body image disturbances as it does not result in visible or disfiguring changes.
D. Imbalanced nutrition is not an immediate postoperative priority following TURP.

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Correct Answer is B

Explanation

A. Weight may fluctuate but is not a direct indication of immediate fluid resuscitation adequacy.
B. A decrease in heart rate is a sign of improved perfusion and stabilization, suggesting that fluid replacement is effective in compensating for blood loss.
C. Adequate fluid replacement is indicated by an increase, not a decrease, in urine output.
D. Blood pressure should stabilize or increase with fluid replacement, rather than decrease.

A. Regular insulin B. NPH insulin C. Insulin detemir D. Insulin glargine

Correct Answer is A

Explanation

A. Regular insulin is the only type of insulin approved for intravenous administration and is commonly used to treat diabetic ketoacidosis (DKA) for its rapid effect.
B. NPH insulin is an intermediate-acting insulin and is not appropriate for the acute management of DKA.
C. Insulin detemir is a long-acting insulin that does not act quickly enough for DKA.
D. Insulin glargine is also a long-acting insulin and is not suitable for immediate correction of DKA.

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A common nursing diagnosis for a client in the immediate postoperative phase after transurethral resection of the prostate (TURP) is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is monitoring a client who is admitted with severe hemorrhage from traumatic injury who is receiving IV fluid resuscitation therapy. The nurse should identify a decrease in which of the following findings as an indication of adequate fluid replacement?

Correct Answer is B

Explanation

Correct Answer is A

Explanation

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