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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Dry mouth is not a common side effect of alpha-blocker medications used to treat BPH
.
B. Constipation is not a common side effect of alpha-blocker medications used to treat BPH.
C. While alpha-blockers can cause a decrease in blood pressure, they are often used to treat hypertension, so this answer is incorrect.
D. This is the correct answer. Alpha-blocker medications used to treat BPH can cause a sudden drop in blood pressure, leading to dizziness. Clients should be educated about this potential side effect and advised to change positions slowly to minimize the risk of falls.
Correct Answer is D
Explanation
A. Chronic kidney disease is not directly related to hematuria in clients with BPH. Hematuria is not a typical symptom of kidney disease.
B. While urinary tract infections may cause hematuria, it is more commonly associated with bladder stones in clients with BPH.
C. Prostate cancer may cause hematuria, but it is less common than other potential complications.
D. This is the correct answer. Hematuria in clients with BPH may be due to the presence of bladder stones. Urinary retention and stasis can lead to the formation of stones in the bladder, which may cause bleeding and hematuria.
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