A nurse is preparing a client for TURP surgery. The client asks, "Why is it important for me to remove my dentures before the procedure?" What is the nurse's best response?
"The anesthesia can cause irritation and damage to your dentures."
"Removing your dentures reduces the risk of aspiration during surgery."
"It is hospital policy to remove all dentures before any surgical procedure."
"Leaving your dentures in place may interfere with the surgical instruments."
The Correct Answer is B
A. While anesthesia can cause irritation, it is not the primary reason for removing dentures before TURP surgery.
B. This is the correct answer. Removing dentures reduces the risk of aspiration (inhaling fluids or secretions) during surgery, which can lead to serious complications.
C. While some hospitals may have policies about removing dentures, the main concern here is the safety and prevention of aspiration.
D. Leaving dentures in place during surgery may not interfere with surgical instruments directly, but the main concern is the risk of aspiration.
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Related Questions
Correct Answer is C
Explanation
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.
Correct Answer is B
Explanation
A. Educating the client about postoperative care instructions is essential, but it is not the primary responsibility related to informed consent.
B. This is the correct answer. The nurse's primary responsibility is to ensure that the client is adequately informed about the risks, benefits, and alternatives to the surgery and that they provide voluntary and informed consent. The nurse witnesses the client's signature on the consent form to verify that the client understands and agrees to the procedure.
C. Explaining the surgical procedure is part of the informed consent process, but witnessing the client's signature is the primary responsibility related to informed consent.
D. Ensuring the client is medically fit for the surgery is crucial, but it is not the primary responsibility related to informed consent.
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