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 B

Explanation

A. While anesthesia can cause irritation, it is not the primary reason for removing dentures before TURP surgery.

B. This is the correct answer. Removing dentures reduces the risk of aspiration (inhaling fluids or secretions) during surgery, which can lead to serious complications.

C. While some hospitals may have policies about removing dentures, the main concern here is the safety and prevention of aspiration.

D. Leaving dentures in place during surgery may not interfere with surgical instruments directly, but the main concern is the risk of aspiration.

A. To maintain strict fluid restrictions to prevent overhydration. B. To prevent dehydration during the surgical procedure. C. To ensure proper irrigation of the surgical site with fluid. D. To monitor for potential complications like fluid overload or imbalance.

Correct Answer is D

Explanation

A. Maintaining strict fluid restrictions may not be necessary during TURP surgery and can lead to dehydration.

B. Preventing dehydration is essential, but the primary reason for fluid intake and output monitoring is to detect potential complications related to fluid overload or imbalance.

C. While proper irrigation of the surgical site is essential, fluid intake and output monitoring serve a broader purpose of assessing overall fluid balance and preventing complications.

D. This is the correct answer. Monitoring fluid intake and output during TURP surgery allows the nurse to assess for signs of fluid overload or imbalance, which can occur due to irrigation fluids and potential bleeding.

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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 preparing a client for TURP surgery. The client asks, "Why is it important for me to remove my dentures before the procedure?" What is the nurse's best response?

Correct Answer is B

Explanation

A nurse is monitoring a client's fluid intake and output during TURP surgery. What is the primary reason for this assessment?

Correct Answer is D

Explanation

A client undergoing TURP surgery experiences bladder perforation during the procedure. What is the nurse's immediate action?

A client scheduled for TURP expresses anxiety and fear about the surgery. What should the nurse do to alleviate the client's anxiety?

A client is scheduled for a TURP and expresses concerns about potential sexual dysfunction after the procedure. How should the nurse respond to the client's concerns?

A client develops a fever, chills, and increased urinary frequency three days after TURP surgery. The nurse suspects a urinary tract infection (UTI). What is the nurse's priority intervention?

A nurse is providing preoperative education to a client scheduled for a Transurethral Resection of the Prostate (TURP). The client asks, "What is the purpose of this procedure?" Which response by the nurse is most appropriate?

A client undergoing a TURP asks the nurse how long they can expect to remain in the hospital after the procedure. What is the nurse's best response?

A client develops signs of fluid overload, such as dyspnea, crackles in the lungs, and peripheral edema, after TURP surgery. What is the nurse's priority intervention?

A nurse is assessing a client's readiness for TURP surgery. What information should the nurse prioritize during the preoperative assessment?