A nurse is caring for a client who has prostate cancer and has undergone a prostatectomy. Which of the following should the nurse understand as a potential complication of prostate surgery?
Testicular torsion
Erectile dysfunction
Cystitis
Paralytic ileus
The Correct Answer is B
Choice A reason:
Testicular torsion is a condition where the spermatic cord becomes twisted, cutting off the blood supply to the testicle. It is not a typical complication following a prostatectomy. Testicular torsion is generally an acute condition that affects younger males and is unrelated to prostate surgery.
Choice B reason:
Erectile dysfunction (ED) is a common complication after prostatectomy. The surgery can damage the nerves and blood vessels that control erections, leading to ED. While nerve-sparing techniques aim to reduce this risk, some degree of erectile dysfunction is still possible after the procedure.
Choice C reason:
Cystitis, which is inflammation of the bladder, can occur after a prostatectomy due to the use of a catheter or as a result of the surgery itself. However, it is not as common or as significant a long-term complication as erectile dysfunction.
Choice D reason:
Paralytic ileus, a temporary cessation of bowel movements, can occur after any abdominal surgery due to the manipulation of the intestines or as a side effect of anesthesia. While it can be a complication of prostatectomy, it is typically resolved within a few days to weeks after surgery.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A Reason:
The instruction to urinate a small amount into the toilet before collecting the sample is correct because it helps clear the urethra of organisms that could contaminate the specimen. This initial void helps to flush out bacteria that are present at the opening of the urethra.
Choice B Reason:
This choice is incorrect because urine samples should be kept at body temperature and sent to the lab as soon as possible. Cooling the urine can lead to precipitation of solutes and may affect the results of certain tests.
Choice C Reason:
This statement is incorrect. The proper technique for cleansing prior to urine collection is to wipe from front to back, not back to front. Wiping from back to front can contaminate the urine with bacteria from the anal area.
Choice D Reason:
It is advisable not to collect a urine sample during menstruation unless absolutely necessary because menstrual blood can contaminate the urine specimen, leading to inaccurate test results.
Correct Answer is B
Explanation
Choice A reason:
Asking about dietary changes is relevant to a skin assessment, as diet can influence skin health. However, this question does not require intervention unless the dietary changes are directly related to the skin condition. If the client has been advised to follow a specific diet for their skin condition, then the nurse should ensure compliance with that diet.
Choice B reason:
This question shifts the focus from the skin condition’s characteristics and impact to general coping mechanisms. It does not help determine the lesion’s symptoms, triggers, or functional effects, and thus does not align with a targeted skin assessment framework, requiring intervention.
Choice C reason:
Exploring how the skin issue affects the client’s feelings reveals psychosocial stressors and the emotional burden of living with a visible condition. This insight supports holistic care planning, adherence strategies, and therapeutic rapport.
Choice D reason:
Sleep disturbances can be a consequence of skin conditions, especially if they involve itching or pain. This question is pertinent to the assessment and does not require intervention. The information gathered can help in formulating a comprehensive care plan that addresses the client's comfort and sleep quality.
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