A nurse is caring for a client with BPH who has a urinary catheter in place after experiencing acute urinary retention. The nurse should monitor the client for which potential complication related to the catheter?
Infection
Increased urine output
Reduced bladder pressure
Improved urine flow
The Correct Answer is A
A. This is the correct answer. When a urinary catheter is in place, there is a risk of urinary tract infection due to the introduction of bacteria into the urinary tract.
B. Increased urine output is not a typical complication related to a urinary catheter. The catheter helps drain urine from the bladder, but it does not increase urine production.
C. Reduced bladder pressure may occur when a catheter is draining urine from the bladder, but it is not a complication to monitor for specifically.
D. Improved urine flow is an intended outcome of relieving urinary retention with the catheter, not a complication.
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Related Questions
Correct Answer is B
Explanation
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.
Correct Answer is B
Explanation
A. Increased urine output is not a contributing factor to recurrent UTIs. In BPH, the urinary flow is obstructed, leading to incomplete bladder emptying and residual urine in the bladder, which can increase the risk of UTIs.
B. This is the correct answer. Residual urine in the bladder after voiding provides a breeding ground for bacteria, increasing the risk of UTIs. In BPH, the enlarged prostate obstructs the urethra, leading to incomplete bladder emptying and the presence of residual urine, which contributes to recurrent UTIs.
C. Decreased fluid intake may contribute to urinary stasis and an increased risk of UTIs, but it is not specific to BPH.
D. Reduced bladder capacity is not a contributing factor to recurrent UTIs in BPH.
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