A nurse is providing discharge teaching to a client who underwent a TURP for BPH. Which instruction should the nurse include regarding catheter care?

"You should clamp the catheter when you're feeling the urge to urinate."

"Cleanse around the catheter insertion site daily with alcohol."

"Secure the catheter to your leg using a safety pin."

"Report any signs of catheter blockage or leakage to your healthcare provider."

Answer and Explanation

The Correct Answer is D

A. Clamping the catheter is not recommended, as it can cause urinary retention and obstruct urine flow.

B. Cleansing around the catheter insertion site with alcohol is not recommended, as it may cause skin irritation. The site should be cleaned with mild soap and water.

C. Securing the catheter to the leg with a safety pin is not recommended, as it may cause trauma to the catheter and increase the risk of infection.

D. This is the correct answer. Clients should be instructed to report any signs of catheter blockage or leakage to their healthcare provider. Catheter blockage can lead to urinary retention, and leakage may indicate a problem with the catheter or the drainage system.

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Correct Answer is B

Explanation

A. Resuming normal activities immediately after a TURP is not recommended. The client should gradually resume activities as advised by the healthcare provider.

B. This is the correct answer. After a TURP, the client is at risk of developing a UTI due to catheter use and bladder manipulation. The nurse should monitor for signs of infection, such as fever, dysuria, or cloudy urine.

C. Avoiding all fluid intake for 24 hours is not appropriate, as it can lead to dehydration and other complications. Adequate hydration is essential for postoperative recovery.

D. Administering anticoagulant medications may not be necessary after a TURP unless specifically ordered by the healthcare provider. The nurse should follow the prescribed medication regimen and monitor for bleeding complications.

A. Chronic kidney disease B. Urinary tract infections C. Prostate cancer D. Bladder stones

Correct Answer is D

Explanation

A. Chronic kidney disease is not directly related to hematuria in clients with BPH. Hematuria is not a typical symptom of kidney disease.

B. While urinary tract infections may cause hematuria, it is more commonly associated with bladder stones in clients with BPH.

C. Prostate cancer may cause hematuria, but it is less common than other potential complications.

D. This is the correct answer. Hematuria in clients with BPH may be due to the presence of bladder stones. Urinary retention and stasis can lead to the formation of stones in the bladder, which may cause bleeding and hematuria.

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A nurse is providing discharge teaching to a client who underwent a TURP for BPH. Which instruction should the nurse include regarding catheter care?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who underwent a transurethral resection of the prostate (TURP) for BPH. Which intervention should the nurse include in the postoperative care plan?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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