A nurse is instructing a client on how to care for the urinary catheter after TURP surgery. What should the nurse include in the instructions?

"Clean the catheter with alcohol wipes daily."

"Flush the catheter with sterile water every 4 hours."

"Keep the catheter bag below the level of the bladder."

"Replace the catheter every week to prevent infection."

Answer and Explanation

The Correct Answer is C

A. Cleaning the catheter with alcohol wipes may irritate the urethra and increase the risk of infection. The catheter should not be cleaned with alcohol wipes.

B. Flushing the catheter with sterile water may introduce pathogens into the urinary tract and increase the risk of infection. The catheter should not be flushed with sterile water.

C. This is the correct answer. Keeping the catheter bag below the level of the bladder prevents urine from flowing back into the bladder, reducing the risk of infection.

D. The catheter should not be replaced weekly unless there is a specific indication for catheter change. Catheter replacement should be done according to the healthcare provider's instructions and protocols.

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Correct Answer is D

Explanation

A. Resuming driving the day after TURP surgery may not be safe, as the client may still be recovering from the effects of anesthesia and the procedure.

B. This is the correct answer. The client should avoid driving for at least six to eight weeks after TURP surgery to ensure proper healing and prevent complications.

C. The removal of the catheter may not be the only factor affecting the client's ability to drive safely. The nurse should advise the client to wait for six to eight weeks before resuming driving.

D. Avoiding driving for just one week may not be sufficient for proper recovery after TURP surgery.

A. Inform the healthcare provider about the client's medication. B. Withhold all medications, including anticoagulants, on the day of the surgery. C. Instruct the client to continue taking the anticoagulant as prescribed. D. Administer a blood-thinning agent to counteract the anticoagulant effects.

Correct Answer is A

Explanation

A. This is the correct answer. Informing the healthcare provider about the client's anticoagulant medication is crucial before surgery, as it can affect the surgical plan and potential bleeding risks during TURP.

B. Withholding all medications, including anticoagulants, should only be done under the direction of the healthcare provider and anesthesia team. Abruptly stopping anticoagulants can lead to significant medical risks.

C. Continuing the anticoagulant as prescribed may pose a bleeding risk during surgery, so it is essential to involve the healthcare provider in the decision.

D. Administering a blood-thinning agent to counteract the anticoagulant effects is not appropriate and can lead to complications. The healthcare provider should decide on the management of anticoagulation therapy before surgery.

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A nurse is instructing a client on how to care for the urinary catheter after TURP surgery. What should the nurse include in the instructions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge instructions to a client after TURP surgery. The client asks, "When can I resume driving?" What is the nurse's best response?

Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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