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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Young age is not a risk factor for developing BPH. BPH is more common in older men, typically over the age of 50.
B. This is the correct answer. Family history of BPH is considered a risk factor, suggesting a genetic predisposition to developing the condition.
C. High intake of dairy products is not a well-established risk factor for BPH. However, some studies have suggested a potential link between calcium intake and BPH risk, but more research is needed.
D. A sedentary lifestyle may contribute to overall health issues but is not a specific risk factor for BPH.
Correct Answer is A
Explanation
A. This is the correct answer. The client's symptoms of difficulty starting the urinary stream and a weak urine flow, along with a distended bladder and a firm, enlarged prostate on digital rectal examination, suggest acute urinary retention, which is a complication of BPH.
B. Chronic kidney disease is not directly related to the physical findings described in the scenario.
C. Urethral stricture may cause difficulty in starting the urinary stream, but it would not typically present with a distended bladder and an enlarged prostate.
D. Prostate cancer may have similar symptoms to BPH but would not present with acute urinary retention and a distended bladder.
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