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."
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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Related Questions
Correct Answer is C
Explanation
A. Transurethral resection of the prostate (TURP) is a surgical procedure that removes only a portion of the enlarged prostate gland, not the entire gland.
B. This is a potential benefit of TURP, but the primary purpose of the procedure is to reduce the size of the prostate to relieve urinary obstruction and improve urinary flow.
C. This is the correct answer. TURP is performed to reduce the size of the prostate gland, which is causing urinary obstruction due to BPH.
D. TURP does not have a direct impact on fertility, as it does not affect the production or release of sperm.
Correct Answer is D
Explanation
A. This statement is correct. Caffeinated beverages can irritate the bladder and worsen BPH symptoms, so it's best to avoid them.
B. This statement is incorrect. Limiting fluid intake, especially in the evening, can help reduce nighttime urination in clients with BPH.
C. This statement is correct. Pelvic floor exercises, such as Kegel exercises, can help strengthen the pelvic muscles and improve urine flow in BPH.
D. This statement is incorrect. Over-the-counter cold medications containing decongestants can worsen BPH symptoms by constricting blood vessels, including those in the prostate, and can lead to urinary retention.
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