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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Administering pain medication may not be appropriate for these symptoms, as the client's condition requires immediate attention and assessment.
B. This is the correct answer. The sudden onset of tachycardia, hypotension, and confusion indicates a potential complication or adverse reaction that requires immediate intervention from the surgical and anesthesia teams.
C. Reassuring the client is important, but it is not the priority when the client is experiencing concerning symptoms.
D. Initiating a rapid infusion of intravenous fluids may not be appropriate without a proper assessment and evaluation of the client's condition. The priority is to inform the surgical and anesthesia teams to address the situation promptly.
Correct Answer is C
Explanation
A. While the client's marital status and family support are important aspects of the client's life, they are not directly related to the client's readiness for TURP surgery.
B. The client's dietary preferences and meal schedule are important for overall health but are not the priority during the preoperative assessment for TURP.
C. This is the correct answer. The nurse should prioritize assessing the client's allergies and medication history to identify any potential risks or adverse reactions during the surgical procedure and anesthesia.
D. The client's educational background and employment status may not be directly relevant to TURP surgery and are not the priority during the preoperative assessment.
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