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: Mr. Smith requires immediate attention due to his multiple sclerosis and severe symptoms of chills, fatigue, and a high fever (103°F). These symptoms could indicate a severe infection such as a urinary tract infection (UTI) or even sepsis, which can be life-threatening, especially in individuals with a compromised immune system or chronic conditions like multiple sclerosis.
Choice B reason: Ms. Jones's dry mouth is a common side effect of Ditropan (oxybutynin), which is used to treat urinary frequency and urgency. While it is uncomfortable, it is not an emergency and can be addressed at the next visit or over a phone consultation.
Choice C reason: Mr. Jones, being a new patient with incontinence concerns, does not present an immediate emergency. This issue, while significant for his quality of life, can be managed through a scheduled appointment.
Choice D reason: Ms. Smith's decision to cancel her appointment due to her symptoms not being severe does not require immediate attention. She can be rescheduled for a later date without risk to her health.

A. Refrigerate the urine during the collection time period. B. Discard the client's last void at the end of the collection time period. C. Save the first void at the start of the collection time period. D. Include toilet paper with the collected urine.

Correct Answer is A

Explanation

Choice A reason: Refrigerating the urine during the collection period helps preserve the integrity of the sample by preventing bacterial growth and chemical changes, ensuring accurate test results.
Choice B reason: Discarding the client's last void at the end of the collection period is incorrect; instead, the first void at the beginning of the period should be discarded to start the collection with an empty bladder.
Choice C reason: Saving the first void at the start of the collection period is not standard practice. The first void should be discarded, and then the collection starts with the next void.
Choice D reason: Including toilet paper with the collected urine can contaminate the sample and is not an appropriate action.

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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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