A nurse is reviewing the discharge instructions for a client who underwent a transurethral resection of the prostate (TURP) for BPH. Which activity restriction should the nurse include in the education?
Limiting fluid intake to avoid urinary urgency
Avoiding sexual activity for at least two weeks
Restricting walking and physical activity
Avoiding sitting for extended periods
The Correct Answer is B
A. Limiting fluid intake to avoid urinary urgency is not necessary after a TURP. Adequate hydration is essential for promoting urinary flow and preventing urinary tract infections.
B. This is the correct answer. After a TURP, sexual activity is usually restricted for at least two weeks to allow for proper healing and to reduce the risk of complications, such as bleeding or infection.
C. Restricting walking and physical activity is not necessary after a TURP. Encouraging early ambulation is important for preventing complications and promoting recovery.
D. Avoiding sitting for extended periods is not a specific activity restriction after a TURP.
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Related Questions
Correct Answer is B
Explanation
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.
Correct Answer is A
Explanation
A. This is the correct answer. Alpha-blockers are commonly prescribed as the first-line medication for BPH. They relax the smooth muscles in the prostate and bladder neck, improving urinary flow and reducing LUTS.
B. Antibiotics are prescribed if the client has a urinary tract infection, but they do not directly address BPH symptoms.
C. Diuretics are not typically used to treat BPH.
D. Anticholinergics are used to treat overactive bladder symptoms, which are not specific to BPH-related LUTS.
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