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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
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.
Correct Answer is B
Explanation
A. Checking urine for ketones is generally recommended when blood glucose is consistently high, but once daily may not be sufficient during illness or hyperglycemic episodes.
B. Monitoring blood glucose every 4 hours during illness helps manage potential fluctuations and prevent diabetic ketoacidosis, making this statement correct.
C. A pre-meal blood glucose of 120 mg/dL is within the acceptable range, so notifying the provider is unnecessary.
D. Checking blood glucose every 5 minutes is excessive and not standard practice, even if feeling lightheaded.
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