A nurse is providing dietary guidelines to a client after TURP surgery. Which dietary recommendation should the nurse include?
"Increase your fluid intake to promote urinary flow."
"Limit your protein intake to reduce stress on the kidneys."
"Avoid foods that are high in fiber and whole grains."
"Consume caffeine and alcohol in moderation."
The Correct Answer is D
A. Increasing fluid intake is important, but excessive fluid consumption may put additional stress on the bladder and cause discomfort. The client should maintain adequate fluid intake without overhydration.
B. Limiting protein intake is not typically necessary after TURP surgery unless there are specific medical reasons for such restrictions.
C. This is not an appropriate recommendation. Foods that are high in fiber and whole grains are beneficial for overall health, including gastrointestinal function.
D. This is the correct answer. Consuming caffeine and alcohol in moderation is recommended after TURP surgery. These substances can act as diuretics, increasing the need to urinate and potentially causing discomfort for the client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. This is the correct answer. Informing the healthcare provider about the client's anticoagulant medication is crucial before surgery, as it can affect the surgical plan and potential bleeding risks during TURP.
B. Withholding all medications, including anticoagulants, should only be done under the direction of the healthcare provider and anesthesia team. Abruptly stopping anticoagulants can lead to significant medical risks.
C. Continuing the anticoagulant as prescribed may pose a bleeding risk during surgery, so it is essential to involve the healthcare provider in the decision.
D. Administering a blood-thinning agent to counteract the anticoagulant effects is not appropriate and can lead to complications. The healthcare provider should decide on the management of anticoagulation therapy before surgery.
Correct Answer is B
Explanation
A. Administering pain medication may not be appropriate for these symptoms, as the client's condition requires immediate attention and assessment.
B. This is the correct answer. The sudden onset of tachycardia, hypotension, and confusion indicates a potential complication or adverse reaction that requires immediate intervention from the surgical and anesthesia teams.
C. Reassuring the client is important, but it is not the priority when the client is experiencing concerning symptoms.
D. Initiating a rapid infusion of intravenous fluids may not be appropriate without a proper assessment and evaluation of the client's condition. The priority is to inform the surgical and anesthesia teams to address the situation promptly.
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