A nurse is caring for a client who underwent a transurethral resection of the prostate (TURP) for BPH. Which intervention should the nurse include in the postoperative care plan?

Encourage the client to resume normal activities immediately.

Monitor for signs of urinary tract infection (UTI).

Instruct the client to avoid all fluid intake for 24 hours.

Administer anticoagulant medications.

Answer and Explanation

The Correct Answer is B

A. Resuming normal activities immediately after a TURP is not recommended. The client should gradually resume activities as advised by the healthcare provider.

B. This is the correct answer. After a TURP, the client is at risk of developing a UTI due to catheter use and bladder manipulation. The nurse should monitor for signs of infection, such as fever, dysuria, or cloudy urine.

C. Avoiding all fluid intake for 24 hours is not appropriate, as it can lead to dehydration and other complications. Adequate hydration is essential for postoperative recovery.

D. Administering anticoagulant medications may not be necessary after a TURP unless specifically ordered by the healthcare provider. The nurse should follow the prescribed medication regimen and monitor for bleeding complications.

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Correct Answer is A

Explanation

A. This is the correct answer. Nocturia and frequent nighttime urination in clients with BPH are often due to decreased bladder capacity. BPH causes obstruction of the urinary outflow, leading to incomplete bladder emptying during the day and increased urine volume at night.

B. Nocturnal enuresis refers to involuntary nighttime urination in children and is not relevant to this scenario.

C. While hormonal changes may play a role in the development of BPH, they are not directly related to nocturia and frequent nighttime urination.

D. Urinary retention may cause decreased frequency of urination rather than nocturia and frequent nighttime urination.

A. Morning B. Afternoon C. Evening D. Night

Correct Answer is C

Explanation

A. Limiting fluid intake in the morning is not likely to be helpful in reducing nighttime awakenings caused by urinary frequency and nocturia.

B. Limiting fluid intake in the afternoon is not likely to be helpful in reducing nighttime awakenings caused by urinary frequency and nocturia.

C. This is the correct answer. Limiting fluid intake in the evening can help reduce the volume of urine produced during the night, thereby decreasing nocturia and nighttime awakenings.

D. Limiting fluid intake at night may cause dehydration and is not recommended. Instead, the client should focus on reducing evening fluid intake to minimize nighttime urine production.

Questions

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A nurse is caring for a client who underwent a transurethral resection of the prostate (TURP) for BPH. Which intervention should the nurse include in the postoperative care plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with BPH is experiencing nocturia and has reported difficulty sleeping due to frequent nighttime urination. The nurse should recognize these symptoms as related to:

Correct Answer is A

Explanation

A client with BPH is experiencing urinary frequency and nocturia. The nurse should advise the client to limit fluid intake at which time of the day to reduce nighttime awakenings?

Correct Answer is C

Explanation

A client with BPH reports experiencing difficulty starting the urinary stream and a feeling of incomplete bladder emptying. The nurse should recognize these symptoms as:

A client reports a sensation of incomplete bladder emptying and a feeling of "fullness" in the lower abdomen. The nurse should document this as:

A client with BPH complains of difficulty starting a urine stream and a weak urine flow. The nurse should recognize these symptoms as indicative of:

A client with BPH is experiencing recurrent urinary tract infections (UTIs). The nurse should identify which factor as contributing to this complication?

A client asks the nurse, "What is Benign Prostatic Hyperplasia?" Which response by the nurse is most appropriate?

A client with lower urinary tract symptoms (LUTS) seeks medical advice. The nurse anticipates that the initial diagnostic evaluation for BPH will likely include:

A nurse is providing education to a client diagnosed with BPH. The nurse explains that the initial management of BPH may involve: