A nurse is providing preoperative teaching to a client who is scheduled for a radical prostatectomy. Which of the following information should the nurse include in the teaching?

The client will be on bed rest while continuous bladder irrigation is in place.

Cold compresses will be used to manage bladder spasms.

The client will have an NG tube in place for 48 hr postoperatively.

A PCA pump will be used for postoperative pain control.

Answer and Explanation

The Correct Answer is D

Rationale:
A. The client will be on bed rest while continuous bladder irrigation is in place.: Bed rest is not required solely due to continuous bladder irrigation (CBI). Early ambulation is encouraged postoperatively to prevent complications such as deep vein thrombosis and promote recovery.

B. Cold compresses will be used to manage bladder spasms.: Bladder spasms are common after prostate surgery, but they are typically managed with anticholinergic medications, such as oxybutynin, rather than cold compresses.

C. The client will have an NG tube in place for 48 hr postoperatively.: An NG tube is not routinely used following a radical prostatectomy unless the client develops complications like ileus or vomiting. Its use is not part of standard postoperative care.

D. A PCA pump will be used for postoperative pain control.: A patient-controlled analgesia (PCA) pump is commonly used after major surgeries like a radical prostatectomy to manage pain effectively. It allows the client to self-administer controlled doses of pain medication for optimal comfort.

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Correct Answer is D

Explanation

Rationale:
A. Decreased calcium levels: Hypocalcemia may cause neuromuscular symptoms such as tetany or tingling but is not associated with exophthalmos (protruding eyes). Calcium imbalance does not typically cause changes in eye appearance.

B. Decreased somatotropin levels: Somatotropin (growth hormone) deficiency may lead to growth delay or reduced muscle mass, but it is not associated with changes in orbital appearance. Protruding eyes are unrelated to growth hormone levels.

C. Increased glucose levels: Elevated glucose is characteristic of diabetes mellitus and may lead to complications like neuropathy or retinopathy, but it does not cause eye protrusion.

D. Increased T4 levels: Elevated thyroxine (T4) is seen in hyperthyroidism, particularly in Graves' disease, which is strongly associated with exophthalmos. The protrusion results from inflammation and edema of orbital tissues, a hallmark of this thyroid disorder.

A. "Use salt substitutes to reduce your sodium intake." B. "Increase your fluid intake to 1,000 mL a day." C. "Include phosphorus-rich foods in your diet." D. "Avoid food products that contain trans-fats."

Correct Answer is D

Explanation

Rationale:
A. "Use salt substitutes to reduce your sodium intake.": Salt substitutes often contain potassium, which can accumulate to dangerous levels in clients with chronic kidney disease. Therefore, they should be avoided rather than recommended.

B. "Increase your fluid intake to 1,000 mL a day.": Clients on hemodialysis typically require fluid restrictions, not increases, to prevent fluid overload between dialysis sessions. Fluid allowances are individualized based on urine output and clinical status.

C. "Include phosphorus-rich foods in your diet.": Phosphorus levels tend to rise in clients with kidney failure, contributing to bone disease. These clients are advised to avoid phosphorus-rich foods like dairy, nuts, and cola beverages.

D. "Avoid food products that contain trans-fats.": Clients with chronic kidney disease are at increased risk for cardiovascular disease. Avoiding trans-fats, which raise LDL cholesterol and promote inflammation, supports heart health and is an appropriate dietary recommendation.

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A nurse is providing preoperative teaching to a client who is scheduled for a radical prostatectomy. Which of the following information should the nurse include in the teaching?

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