A nurse is monitoring a client's fluid intake and output during TURP surgery. What is the primary reason for this assessment?
To maintain strict fluid restrictions to prevent overhydration.
To prevent dehydration during the surgical procedure.
To ensure proper irrigation of the surgical site with fluid.
To monitor for potential complications like fluid overload or imbalance.
The Correct Answer is D
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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Naxlex Comprehensive Predictor Exams
Related Questions
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.
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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