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 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
Correct Answer is D
Explanation
A. Clamping the catheter is not recommended, as it can cause urinary retention and obstruct urine flow.
B. Cleansing around the catheter insertion site with alcohol is not recommended, as it may cause skin irritation. The site should be cleaned with mild soap and water.
C. Securing the catheter to the leg with a safety pin is not recommended, as it may cause trauma to the catheter and increase the risk of infection.
D. This is the correct answer. Clients should be instructed to report any signs of catheter blockage or leakage to their healthcare provider. Catheter blockage can lead to urinary retention, and leakage may indicate a problem with the catheter or the drainage system.
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