When assessing a client who had a transurethral resection of the prostate (TURP) one day ago, the nurse observes that his scrotum and penis are edematous. Which intervention(s) should the nurse implement? Select all that apply.

Put a pillow under the buttocks.

Apply a cold pack to the scrotal and penile areas.

Obtain a specimen for urinalysis.

Remove the indwelling urinary catheter.

Notify the healthcare provider immediately.

Answer and Explanation

Correct Answer : B,E

Choice A reason: Elevating the buttocks with a pillow is not specifically indicated in the scenario provided. While it might assist in other situations to reduce swelling by using gravity, it isn't a standard intervention for the described situation post-TURP.

Choice B reason: Applying a cold pack to the scrotal and penile areas can help reduce the swelling and discomfort associated with edema. Cold therapy is effective in constricting blood vessels and reducing inflammation, making it an appropriate immediate intervention.

Choice C reason: While obtaining a urinalysis might provide information on the presence of infection or other abnormalities, it does not directly address the immediate issue of the observed edema. Therefore, it is not a primary intervention in this scenario.

Choice D reason: Removing the indwelling urinary catheter without specific orders can lead to complications and is not advised as an initial intervention. The catheter serves a critical purpose post-surgery and should be handled according to protocol or provider direction.

Choice E reason: Notifying the healthcare provider immediately is crucial when unexpected postoperative complications such as edema occur. Prompt communication allows for timely medical intervention and ensures that the patient receives the necessary care.

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Correct Answer is A

Explanation

Choice A reason: Relevance to the situation is the most important consideration when gathering evidence to ensure that the information directly addresses the specific clinical question and problem at hand.

Choice B reason: Related personal values are important but secondary to the relevance of evidence in making clinical decisions.

Choice C reason: Frequency that the problem occurs is useful information but not as crucial as ensuring the evidence is directly relevant.

Choice D reason: Past experience with similar problems can inform decision-making but should be supported by relevant and current evidence.

A. Hold urine for at least 10 minutes to dilute bacteria. B. Empty the bladder before and after sexual intercourse. C. Drink large amounts of fluids before bedtime. D. Cleanse the perineal area in a circular motion after voiding.

Correct Answer is B

Explanation

Choice A reason: Holding urine for at least 10 minutes does not dilute bacteria and can actually increase the risk of infection.

Choice B reason: Emptying the bladder before and after sexual intercourse helps flush out bacteria that may have been introduced during intercourse, reducing the risk of UTI.

Choice C reason: Drinking large amounts of fluids before bedtime is not specific to preventing UTIs and may lead to nighttime urination, disrupting sleep.

Choice D reason: Cleansing the perineal area in a circular motion is not the recommended method. The recommended practice is to wipe from front to back to prevent the spread of bacteria from the rectal area to the urethra.

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When assessing a client who had a transurethral resection of the prostate (TURP) one day ago, the nurse observes that his scrotum and penis are edematous. Which intervention(s) should the nurse implement? Select all that apply.

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

The nurse is teaching a female client about preventive measures for urinary tract infections (UTI). Which information should the nurse include?

Correct Answer is B

Explanation

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When assessing a client who had a transurethral resection of the prostate (TURP) one day ago, the nurse observes that his scrotum and penis are edematous. Which intervention(s) should the nurse implement? Select all that apply.

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