A nurse is providing postoperative care to a client after TURP surgery. What is the priority assessment for the client during the immediate postoperative period?
Assessing pain level and administering pain medication as needed.
Monitoring vital signs and assessing for signs of hemorrhage.
Evaluating the client's urinary output and catheter patency.
Assessing the client's surgical incision for signs of infection.
The Correct Answer is B
A. Assessing pain level and administering pain medication is important, but the priority during the immediate postoperative period is to monitor vital signs and assess for signs of hemorrhage or other complications.
B. This is the correct answer. Monitoring vital signs and assessing for signs of hemorrhage, such as continuous bright red bleeding, tachycardia, and hypotension, is essential to detect and address any complications promptly.
C. Evaluating the client's urinary output and catheter patency is important but may not be the immediate priority if there are concerns about hemorrhage or other complications.
D. Assessing the client's surgical incision for signs of infection is essential, but it may not be the immediate priority during the immediate postoperative period. The focus should be on assessing vital signs and for signs of bleeding or other complications.
Questions
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Related Questions
Correct Answer is C
Explanation
A. While the client's marital status and family support are important aspects of the client's life, they are not directly related to the client's readiness for TURP surgery.
B. The client's dietary preferences and meal schedule are important for overall health but are not the priority during the preoperative assessment for TURP.
C. This is the correct answer. The nurse should prioritize assessing the client's allergies and medication history to identify any potential risks or adverse reactions during the surgical procedure and anesthesia.
D. The client's educational background and employment status may not be directly relevant to TURP surgery and are not the priority during the preoperative assessment.
Correct Answer is A
Explanation
A. This is the correct answer. Administering pain medication as prescribed by the healthcare provider is the most appropriate intervention to manage postoperative pain after TURP surgery.
B. Deep breathing exercises are helpful for preventing respiratory complications, but they may not be sufficient for managing postoperative pain.
C. Applying a heating pad to the surgical site is not recommended as it may increase the risk of bleeding and other complications.
D. While distractions can provide some comfort, they may not be enough to effectively manage postoperative pain. Pain medication is the primary intervention.
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