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) Resuming heavy lifting and strenuous exercises immediately after TURP surgery can lead to complications such as bleeding or wound disruption.
B) This is the correct answer. The client should avoid heavy lifting and strenuous exercises for at least six to eight weeks after surgery to allow for proper healing and to prevent complications.
C) Resuming heavy lifting and strenuous exercises just two days after surgery is not recommended as the body needs time to heal.
D) Avoiding heavy lifting and strenuous exercises for one week may not be sufficient for proper healing after TURP surgery.
Correct Answer is B
Explanation
A. Administering pain relief may be necessary, but the nurse's first action should be to notify the healthcare provider about the client's severe pain and other concerning symptoms.
B. This is the correct answer. Severe lower abdominal pain, difficulty urinating, and the presence of blood clots in the urine may indicate postoperative complications after TURP. The nurse should notify the healthcare provider immediately for further evaluation and intervention.
C. Encouraging the client to drink more fluids may be helpful, but it is not the first action when the client experiences severe pain and other concerning symptoms.
D. Deep breathing exercises can help manage pain, but the nurse should first address the client's acute symptoms and notify the healthcare provider for appropriate intervention.
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