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. 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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