The nurse is providing education to a client who is returning home with an indwelling urinary catheter after having a transurethral resection of the prostate (TURP). Which statement made by the client demonstrates a need for the nurse to clarify the instructions?
Start pelvic floor exercises.
Report fever or chills.
Increase fluid intake to help with hydration.
Tape urinary catheter securely to the thigh.
The Correct Answer is A
Choice A reason: Starting pelvic floor exercises might be beneficial in the long term for improving urinary control after TURP. However, immediately following the surgery and while the indwelling catheter is in place, it may not be the appropriate time to begin these exercises. The nurse should clarify when and how to start pelvic floor exercises.
Choice B reason: Reporting fever or chills is crucial because these symptoms could indicate an infection, which requires prompt medical attention. This statement reflects an understanding of important post-operative care instructions and does not need clarification.
Choice C reason: Increasing fluid intake to help with hydration is important for clients with a urinary catheter. Adequate hydration helps flush the urinary system and prevent complications such as urinary tract infections. This statement does not need clarification.
Choice D reason: Taping the urinary catheter securely to the thigh helps prevent tension on the catheter and reduces the risk of accidental dislodgement or trauma. This instruction is correct and does not need clarification.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Using a feminine hygiene spray can irritate the urethra and worsen the symptoms of cystitis. It is generally recommended to avoid products that contain chemicals and fragrances, as they can disrupt the natural balance of bacteria and lead to further infections.
Choice B reason: Limiting cranberry juice intake is not a typical recommendation for clients with cystitis. In fact, cranberry juice is often suggested as it contains compounds that can help prevent bacteria from adhering to the bladder wall, potentially reducing the risk of urinary tract infections.
Choice C reason: Wearing cotton underwear is recommended because it is breathable and helps keep the genital area dry. This can reduce the risk of bacterial growth and infection, making it an important measure in managing and preventing cystitis.
Choice D reason: Taking daily tub baths can increase the risk of introducing bacteria into the urinary tract, especially if the water is not clean. It is generally advised to take showers instead of tub baths to minimize the risk of urinary tract infections.
Correct Answer is B
Explanation
Choice A reason: Stool with fatty streaks is not a common finding in ulcerative colitis. It is more associated with malabsorption syndromes.
Choice B reason: Blood in the stool is a significant finding in ulcerative colitis, especially during an acute exacerbation. It indicates active inflammation and potential bleeding in the colon, which requires immediate attention and intervention.
Choice C reason: Clay-coloured stool usually indicates a problem with the bile ducts or liver, such as bile duct obstruction. It is not specific to ulcerative colitis.
Choice D reason: Hard pellets of stool indicate constipation, which is not typically associated with ulcerative colitis, especially during an acute exacerbation where diarrhea is more common.
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