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 C
Explanation
A. Erectile dysfunction may be a concern after TURP, but it is not the most common postoperative complication.
B. Incontinence can occur after TURP, but it is not the most common postoperative complication.
C. This is the correct answer. Hematuria, or blood in the urine, is the most common postoperative concern for clients undergoing TURP. It is expected for a short period after the surgery and should gradually improve.
D. Retrograde ejaculation may occur after TURP, but it is not the most common postoperative complication.
Correct Answer is B
Explanation
A. While encouraging fluid intake is important, severe pain during urination and inability to void after TURP surgery require further evaluation and intervention by the healthcare provider.
B. This is the correct answer. Severe pain and inability to void after TURP surgery may indicate a complication or urinary retention that requires immediate attention from the healthcare provider.
C. Documenting the client's complaints is essential, but the nurse should not delay notifying the healthcare provider about the client's symptoms.
D. Instructing the client to perform Kegel exercises is not the priority when the client is experiencing severe pain and inability to void after TURP surgery. The client's symptoms require prompt evaluation and intervention.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.