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: Impaired skin integrity is a significant risk due to the constant exposure of the skin around the stoma to urine, which can lead to irritation and breakdown. Proper skin care and stoma care are essential to prevent complications.
Choice B reason: Disturbed body image is also a risk as the client adjusts to the physical changes and the presence of a stoma, which can impact self-esteem and body perception.
Choice C reason: Fluid volume deficit can occur if the client does not maintain adequate fluid intake or if there is significant leakage from the stoma. Monitoring fluid balance is crucial.
Choice D reason: Anxiety is common as clients adapt to managing a new ostomy, worrying about potential complications, and coping with changes in body function.
Choice E reason: Infection is a risk due to the exposure of the stoma and surrounding skin to bacteria from the urine. Proper hygiene and care are vital to prevent infections.

A. Auscultate the client's lungs. B. Provide oral hygiene. C. Assist the client to a side-lying position. D. Withhold oral fluids and food.

Correct Answer is D

Explanation

Choice A reason: While auscultating the client's lungs is important for overall assessment, it is not the immediate priority following pain management in acute pancreatitis.
Choice B reason: Providing oral hygiene is important for comfort and preventing infections but is not the immediate priority.
Choice C reason: Assisting the client to a side-lying position can help with comfort and prevent aspiration, but it is not the most critical intervention following pain management.
Choice D reason: Withholding oral fluids and food is the priority intervention to reduce pancreatic stimulation and enzyme secretion, which can exacerbate the inflammation and pain in acute pancreatitis. This intervention helps rest the pancreas and promote healing.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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