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.
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.
Nursing Test Bank
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Related Questions
Correct Answer is C
Explanation
A. While urinary tract infections can occur in clients with BPH, they do not typically present with severe pain in the lower abdomen, groin, and testicles.
B. Testicular cancer does not typically cause pain in the lower abdomen and is not directly related to BPH.
C. This is the correct answer. Severe pain in the lower abdomen, groin, and testicles can be indicative of kidney stones, which may occur as a complication of BPH. Urinary retention and stasis in the bladder can lead to the formation of stones.
D. Prostate cancer may cause symptoms similar to BPH, but sudden severe pain in the lower abdomen, groin, and testicles is not a typical presentation of prostate cancer.
Correct Answer is C
Explanation
A. Preventing recurrent urinary tract infections is not the primary purpose of combination therapy with an alpha-blocker and a 5-alpha reductase inhibitor.
B. While some improvement in erectile function may occur with alpha-blockers, the primary purpose of the combination therapy is not to address erectile dysfunction.
C. This is the correct answer. The combination of an alpha-blocker and a 5-alpha reductase inhibitor is used to enhance the effects of both medications. Alpha-blockers help relieve urinary symptoms quickly by relaxing the smooth muscles of the prostate and bladder neck, while 5-alpha reductase inhibitors work over time to shrink the prostate and improve urinary flow.
D. Reducing the risk of urinary incontinence is not the primary goal of combination therapy with these medications.
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