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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Sharing personal experiences of other clients may not be appropriate, as each individual's experience is unique, and it may not alleviate the client's anxiety.
B. Avoiding discussing the surgical procedure can increase the client's anxiety, as they may feel uninformed and uncertain about the surgery.
C. While explaining the surgical procedure is important, listening to the client's concerns and providing emotional support are equally crucial in alleviating anxiety.
D. This is the correct answer. Actively listening to the client's concerns allows the nurse to understand their fears and provide appropriate emotional support, which can help alleviate anxiety before TURP surgery.
Correct Answer is C
Explanation
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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