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 C

Explanation

A. Stress urinary incontinence is the involuntary loss of urine due to activities that increase intra-abdominal pressure, such as coughing or sneezing. It is not related to the symptoms described in the question.

B. Overflow urinary incontinence is characterized by a constant dribbling of urine due to an overdistended bladder. It is typically seen in conditions that obstruct urine flow, such as BPH, but it does not present as difficulty starting the urine stream and a weak flow.

C. This is the correct answer. Difficulty starting the urine stream and a weak urinary flow are common symptoms of urinary retention, a condition in which the bladder does not fully empty during voiding due to an obstruction, such as an enlarged prostate in BPH.

D. Urge urinary incontinence is characterized by a sudden, strong urge to urinate, followed by involuntary urine loss. It is not related to the symptoms described in the question.

Questions

A. Increase calcium intake B. Limit fluid intake C. Avoid caffeine and alcohol D. Eat a high-protein diet

Correct Answer is C

Explanation

A. Increasing calcium intake is not specifically indicated for managing urinary frequency and urgency in clients with BPH.

B. Limiting fluid intake, especially in the evening, may help reduce nighttime urination, but it is not advisable to restrict fluids excessively, as dehydration can lead to other health problems.

C. This is the correct answer. Caffeine and alcohol are diuretics that can increase urine production and exacerbate urinary frequency and urgency in clients with BPH. Recommending the avoidance of these substances may help alleviate symptoms.

D. Eating a high-protein diet is not specifically indicated for managing urinary frequency and urgency in clients with BPH.

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 difficulty starting the urine stream and a weak urinary flow. The nurse should identify these symptoms as indicative of:

Correct Answer is C

Explanation

A client with BPH is experiencing urinary frequency and urgency. Which dietary modification should the nurse recommend to the client to help manage these symptoms?

Correct Answer is C

Explanation

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