A nurse is preparing a client for Transurethral Resection of the Prostate (TURP) surgery. What should the nurse instruct the client to do before the procedure?
Increase fluid intake to promote bladder distension.
Limit fluid intake to prevent excessive urination.
Empty the bladder completely to reduce infection risk.
Perform Kegel exercises to strengthen pelvic floor muscles.
The Correct Answer is C
A. Increasing fluid intake may not be necessary before TURP surgery and could lead to over-distension of the bladder, making catheterization difficult.
B. Limiting fluid intake is not recommended as the client needs adequate hydration before surgery to support the body's normal functions.
C. This is the correct answer. Emptying the bladder completely before TURP surgery helps reduce the risk of infection and prevents complications during the procedure.
D. Kegel exercises are beneficial for pelvic floor muscle strengthening but are not specifically required before TURP surgery.
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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 C
Explanation
A. Discharging a client on the same day of TURP surgery is not common due to the need for monitoring and management of postoperative complications.
B. A hospital stay of about a week is more extended than usual for TURP surgery, which typically requires a shorter stay.
C. This is the correct answer. Most clients who undergo TURP can expect to stay in the hospital for 2 to 3 days for close postoperative monitoring and management of any complications.
D. Discharging a client on the same day of surgery is not standard practice for TURP, as immediate postoperative monitoring is necessary.
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