A nurse is providing postoperative teaching to an older adult patient who has undergone a transurethral resection of the prostate.
Which of the following statements should be included in the teaching?
You may bathe in a tub until the catheter is removed.
You should take ibuprofen for discomfort.
You should wait 6 weeks before resuming sexual intercourse.
You may drive after 1 week.
The Correct Answer is C
Choice A rationale
Bathing in a tub until the catheter is removed is not recommended after a transurethral resection of the prostate (TURP). This could increase the risk of infection.
Choice B rationale
Taking ibuprofen for discomfort is not typically recommended after TURP. Ibuprofen can increase the risk of bleeding.
Choice C rationale
Waiting 6 weeks before resuming sexual intercourse is a standard recommendation after TURP. This allows the body time to heal.
Choice D rationale
Driving after 1 week is not typically recommended after TURP. Patients are usually advised to avoid driving until they are free of pain and can move quickly and safely.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Hypoactive bowel sounds in all four quadrants are not unusual in a patient one day postoperative following an appendectomy. This is because anesthesia and surgery can slow down the bowel movements temporarily.
Choice B rationale
Red streaks along the incision are a sign of infection. This could indicate cellulitis, a common skin infection that can be serious if left untreated. The red streaks are often warm to the touch and may be accompanied by other signs of infection such as fever, pain, and swelling.
Therefore, the nurse should report this finding.
Choice C rationale
Serosanguineous drainage at the incision site is not uncommon in the first few days after surgery. It is a mixture of blood and serum and is usually light pink to blood-tinged in color. However, if the drainage is heavy, or if it continues for more than a few days, it could be a sign of a problem such as infection or poor wound healing.
Choice D rationale
A temperature of 37.2 C (99 F) is within the normal range for body temperature. A slight elevation in temperature can be expected after surgery due to the body’s inflammatory response to the surgical trauma.
Correct Answer is A
Explanation
Choice A rationale
Without specific patient data, it’s challenging to provide a detailed rationale.
However, initiating seizure precautions could be necessary if the patient’s medical record indicates a history of seizures or a condition that increases the risk of seizures.
Choice B rationale
Assisting the patient to the bathroom is a routine nursing intervention and would not typically be determined based on a review of the patient’s medical record.
Choice C rationale
Keeping the patient’s head in a mid position would depend on the patient’s condition and would not typically be determined based on a review of the patient’s medical record.
Choice D rationale
Decreasing oxygen to 1.5 L/min via nasal cannula would depend on the patient’s oxygen saturation levels and overall respiratory status.
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