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

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A rationale
Rubbing painful areas gently until the pain subsides is not typically recommended for managing pain in Raynaud’s disease. This could potentially cause more harm than good19.
Choice B rationale
Wearing gloves when handling cold items can help guard against painful spasms in Raynaud’s disease. Cold temperatures can trigger Raynaud’s attacks, so protecting the hands from cold is a key part of managing the condition19.
Choice C rationale
The need for return appointments for IV pain medication is not typically a primary component of pain management in Raynaud’s disease. Pain in Raynaud’s disease is usually managed through lifestyle modifications and medications19.
Choice D rationale
While enrolling in a pain clinic can provide pain relief alternatives, it’s not the first line of management for pain in Raynaud’s disease. The primary management strategies include avoiding cold exposure and using medications to improve blood flow19.

A. Cold and dry skin. B. Facial puffiness and periorbital edema. C. Hematocrit of 30% (0.30 volume fraction). D. Further decline in the level of consciousness.

Correct Answer is D

Explanation

Choice A rationale
Cold and dry skin can be a symptom of hypothyroidism, but it’s not typically a sign that requires immediate action.
Choice B rationale
Facial puffiness and periorbital edema can be symptoms of hypothyroidism, but they’re not typically signs that require immediate action.
Choice C rationale
A hematocrit of 30% (0.30 volume fraction) is lower than the normal range, indicating anemia. While this is a concern and should be addressed, it’s not typically a sign that requires immediate action in the context of hypothyroidism.
Choice D rationale
A further decline in the level of consciousness can be a serious sign of deteriorating health in a client with hypothyroidism and should be acted upon immediately.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who was recently diagnosed with Raynaud’s disease is concerned about pain management. Which nursing instruction should the nurse provide?

Correct Answer is B

Explanation

A client with a history of hypothyroidism was initially admitted with lethargy and confusion. Which additional finding should the nurse act upon immediately?

Correct Answer is D

Explanation

A patient with gouty arthritis is experiencing tenderness and swelling in the right ankle and big toe. The nurse notes that the inflammation extends above the ankle area. The patient has been prescribed colchicine and indomethacin. What should the nurse include in the discharge teaching?

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