The nurse is providing postoperative care for a male client who had a transurethral resection of the prostate (TURP) 4 hours ago and has continuous irrigation.
Which of the following actions should the nurse take to monitor the client for fluid overload?

Assess for hypotension.

Assess for distention above the pubis area.

Monitor the client's laboratory values for hypernatremia.

Maintain strict intake and output records.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Hypotension is not a typical sign of fluid overload. Fluid overload often presents with hypertension due to increased circulatory volume. Monitoring blood pressure is essential, but hypotension does not reliably indicate fluid overload. This option does not align with scientific understanding of fluid overload symptoms.

Choice B rationale

Distention above the pubis area suggests urinary retention or bladder distension rather than fluid overload. While important to assess, it does not directly indicate fluid overload. This symptom is more related to mechanical issues than systemic fluid imbalance and volume overload.

Choice C rationale

Hypernatremia is not a sign of fluid overload. Fluid overload typically results in dilutional hyponatremia, where excessive fluids lower sodium levels. Monitoring sodium levels is useful, but hypernatremia would suggest dehydration or other conditions, not excess fluid volume. This choice is inconsistent with scientific knowledge.

Choice D rationale

Maintaining strict intake and output records is a fundamental approach to monitoring fluid balance. Accurate measurements of fluid intake and output help detect fluid overload early. This method directly correlates with assessing excess fluid volume in clinical practice. It is a reliable, evidence-based intervention for monitoring fluid status. .

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Correct Answer is D

Explanation

Choice A rationale

Avoiding exposure to cold climates is not specific to thalassemia prevention. While cold environments may exacerbate general vasoconstriction, they do not influence the genetic and hematologic basis of thalassemia symptoms.

Choice B rationale

Increasing fluid intake does not directly address thalassemia pathophysiology. While hydration is vital, it does not correct the primary anemia or the compromised oxygen delivery stemming from abnormal hemoglobin synthesis.

Choice C rationale

Iron and vitamin B12-rich foods are beneficial for conditions involving deficiency anemia. However, thalassemia involves a genetic defect in hemoglobin chains, so excess iron could even result in iron overload complications.

Choice D rationale

Medications and substances that exacerbate hemolysis, such as sulfonamides or antimalarials, should be avoided in thalassemia. Awareness and prevention of exposure are key to minimizing symptoms and complications in affected individuals. .

A. Medications. B. Negative-pressure devices. C. Penile injections. D. Penis transplant.

Correct Answer is A

Explanation

Choice A rationale

Phosphodiesterase type 5 inhibitors, such as sildenafil, are the next step in treating erectile dysfunction after lifestyle changes fail. These medications enhance nitric oxide-mediated vasodilation in the penile tissues, improving erectile function. Their efficacy, safety, and widespread availability make them the first-line pharmacological option.

Choice B rationale

Negative-pressure devices, like vacuum erection devices, mechanically increase blood flow to the penis to maintain an erection. While effective for some, they are typically considered after the failure of oral pharmacological agents, as they require significant user compliance and may cause discomfort.

Choice C rationale

Penile injections of vasodilatory agents, such as alprostadil, are effective for managing erectile dysfunction. However, these are invasive and often reserved for cases unresponsive to oral medications or mechanical devices. They are not typically the first choice after lifestyle modification.

Choice D rationale

Penis transplantation is an experimental treatment and not a standard approach to managing erectile dysfunction. Its application is limited to cases of significant penile trauma or congenital abnormalities and is not relevant for individuals without such conditions.

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The nurse is providing postoperative care for a male client who had a transurethral resection of the prostate (TURP) 4 hours ago and has continuous irrigation.Which of the following actions should the nurse take to monitor the client for fluid overload?

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Naxlex Comprehensive Predictor Exams

The nurse is teaching a client about preventing symptoms of thalassemia.Which of the following information should the nurse include in the teaching?

Correct Answer is D

Explanation

The nurse is following up with a male client, diagnosed 3 months ago, with erectile dysfunction who attempted lifestyle modifications as the first line of treatment.The client reports having continued symptoms.The nurse should discuss which of the following types of treatment with the client next?

Correct Answer is A

Explanation

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The nurse is providing postoperative care for a male client who had a transurethral resection of the prostate (TURP) 4 hours ago and has continuous irrigation.
Which of the following actions should the nurse take to monitor the client for fluid overload?