Following a transurethral resection of the prostate (TURP), a patient is discharged from the hospital with an indwelling urinary catheter. Which instruction is most important for the nurse to include in the discharge teaching plan?
Eliminate all spicy foods from your diet
Drink 3 liters of water each day
Clamp the catheter when taking a shower
Avoid driving a car for 2 weeks
The Correct Answer is B
Choice A rationale
While spicy foods can irritate the urinary tract, they do not have a direct impact on the care and management of an indwelling urinary catheter after a TURP3.
Choice B rationale
Drinking 3 liters of water each day is important as it helps flush the bladder and reduce the risk of urinary tract infections, which are a common complication after a TURP3.
Choice C rationale
Clamping the catheter is not typically recommended as it can lead to urinary retention and increase the risk of urinary tract infections.
Choice D rationale
Avoiding driving for 2 weeks is a general recommendation after any major surgery to allow the body time to heal, but it does not directly relate to the care of an indwelling urinary catheter.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Brown, rough, greasy, wart-like papules on the face are not typically associated with overexposure to PUVA treatment. These symptoms could be indicative of a different skin condition.
Choice B rationale
Thick skin plaques topped by silvery-white scales are characteristic of psoriasis vulgaris, not overexposure to PUVA treatment. PUVA is used to treat these symptoms, not cause them.
Choice C rationale
Needing sunglasses because sunlight hurts the eyes is not a typical sign of overexposure to PUVA treatment. This could be a sign of a different issue, such as an eye condition or side effect from a different medication.
Choice D rationale
Tenderness upon palpation and generalized erythema are signs of overexposure to PUVA treatment. If a patient is overexposed to PUVA, they may experience a burning sensation, discomfort, and redness at the treatment site.
Correct Answer is C
Explanation
Choice A rationale
While lean beef, salads, and baked potatoes can be part of a balanced diet, they do not specifically target the prevention of colon and rectal cancers. Red meat, in particular, has been associated with an increased risk of colorectal cancer.
Choice B rationale
Potatoes, low-fat breads, and applesauce can be part of a balanced diet, but they do not specifically target the prevention of colon and rectal cancers. A diet rich in whole grains, fruits, and vegetables is more beneficial.
Choice C rationale
A diet rich in oatmeal, raisins, and fruit with skin is high in fiber and antioxidants, which can help reduce the risk of colon and rectal cancers. This is especially important for clients with a strong family history of these cancers.
Choice D rationale
Chicken, rice, and wheat products can be part of a balanced diet, but they do not specifically target the prevention of colon and rectal cancers. A diet rich in whole grains, fruits, and vegetables is more beneficial.
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