A nurse is providing preoperative education to a client scheduled for a transurethral resection of the prostate (TURP) for BPH. The nurse should inform the client about the purpose of this surgical procedure, which is to:

A. This is the correct answer. In cases of acute urinary retention, immediate relief is achieved through catheterization to drain the bladder and relieve the obstruction caused by the enlarged prostate.

B. Medications to reduce bladder spasms may be used as an adjunct to catheterization in managing urinary retention but are not the primary intervention for relieving the obstruction.

C. Invasive surgical intervention may be considered for persistent or severe cases of BPH, but it is not the initial step in managing acute urinary retention.

D. Increased fluid intake may be beneficial for overall bladder health but will not directly relieve the obstruction causing acute urinary retention.

Questions

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.