A nurse is caring for a client who has prostate cancer and had a prostatectomy. Which of the following should the nurse understand is a potential complication of prostate surgery?

Testicular torsion

Erectile dysfunction

Cystitis

Paralytic ileus

Answer and Explanation

The Correct Answer is B

Choice A reason: Testicular torsion is a condition where the spermatic cord twists, cutting off the blood supply to the testicle. It is not a common complication of prostate surgery but rather an acute, emergent condition affecting the testes.
Choice B reason: Erectile dysfunction is a potential complication of prostate surgery, particularly radical prostatectomy, due to the proximity of the nerves controlling erection. Nerve-sparing techniques are often used to minimize this risk, but some degree of dysfunction may still occur.
Choice C reason: Cystitis, an inflammation of the bladder, is not typically a direct complication of prostate surgery. While urinary issues can occur postoperatively, cystitis is more commonly associated with infections rather than surgical outcomes.
Choice D reason: Paralytic ileus, a temporary paralysis of the bowel, can occur after abdominal surgeries, including prostate surgery. However, it is not as specific to prostatectomy as erectile dysfunction.

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Correct Answer is A

Explanation

Choice A reason: Alcohol abuse is a well-known risk factor for acute pancreatitis. Chronic alcohol consumption can lead to inflammation of the pancreas, causing acute episodes of pancreatitis. The harmful effects of alcohol on pancreatic cells and the disruption of digestive enzyme regulation contribute to this increased risk.
Choice B reason: Diabetes mellitus is associated with chronic conditions affecting various organs, but it is not a primary risk factor for acute pancreatitis. However, diabetes can develop as a complication of chronic pancreatitis.
Choice C reason: Congestive heart failure primarily affects the cardiovascular system and does not directly increase the risk for acute pancreatitis. The conditions are unrelated in terms of causation.
Choice D reason: Emphysema is a chronic lung condition and is not associated with an increased risk of acute pancreatitis. The respiratory and pancreatic systems are generally impacted by different risk factors.

A. Mr. Dominic, newly admitted with complaints of severe hip pain and anorexia. His lab tests were normal with the exception of elevated liver enzymes. After an initial dose of Dilaudid 1 mg, he reports his pain as 2 on a 0 to 10 scale and has slept fitfully overnight. B. Mr. Bradford, 5 days post-radical prostatectomy for invasive bladder cancer. His urine output overnight was 1200 mL of blood-tinged urine. He did not sleep well and ambulated twice overnight, complaining of "gas pains." C. Mr. Jennings, had a TURBT (transurethral resection of bladder tumor) yesterday. He is complaining of "bladder spasms." He had 3000 mL of bladder irrigation in overnight and 2950 mL out. D. Ms. Griffiths, who had a cystectomy for bladder cancer three years ago, was admitted via the ER overnight with complaints of severe hip pain and anorexia. Her lab tests were normal with the exception of elevated liver enzymes. After an initial dose of Dilaudid 1 mg, she reports her pain as 2 on a 0 to 10 scale and has slept fitfully overnight.

Correct Answer is C

Explanation

Choice A reason: Mr. Dominic's pain has been controlled to a manageable level, and although he experienced elevated liver enzymes, there are no acute symptoms requiring immediate intervention. He has been able to sleep, indicating that his current condition is stable.
Choice B reason: Mr. Bradford, although experiencing discomfort and blood-tinged urine, is post-surgical, and his condition is stable with managed output. Ambulating is a positive sign post-surgery, indicating recovery. His condition needs monitoring but is not the most urgent.
Choice C reason: Mr. Jennings, who had a TURBT yesterday, is experiencing bladder spasms and high volume irrigation. The output is almost equivalent to the input, which is a positive sign, but bladder spasms can indicate irritation, infection, or a blockage that needs prompt assessment and intervention to prevent further complications.
Choice D reason: Ms. Griffiths presents a similar case to Mr. Dominic, with controlled pain and elevated liver enzymes. She is stable overnight, and her pain level is low after medication, indicating her condition is currently managed.

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A nurse is caring for a client who has prostate cancer and had a prostatectomy. Which of the following should the nurse understand is a potential complication of prostate surgery?

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Naxlex Comprehensive Predictor Exams

Which finding in the patient's history increases the risk for acute pancreatitis?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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