Which information about continues bladder irrigation will the nurse teach to a client who is being admitted for a transurethral resection of the prostrate (TURP)?

Bladder irrigation decreases the risk of postoperative bleeding.

Hydration and urine output are maintained by bladder irrigation.

Antibiotics are infused continuously through the bladder irrigation.

Bladder irrigation prevents obstruction of the catheter after surgery.

Answer and Explanation

The Correct Answer is D

A. Bladder irrigation decreases the risk of postoperative bleeding: Continuous bladder irrigation does not directly prevent bleeding. Its primary purpose is not hemostasis, although it may help flush small clots. Bleeding is managed with surgical technique, medications, or monitoring, not the irrigation itself.

B. Hydration and urine output are maintained by bladder irrigation: Irrigation does not provide systemic hydration or replace fluid lost. It only flushes the bladder lumen and does not contribute significantly to the client’s overall fluid balance or urine production.

C. Antibiotics are infused continuously through the bladder irrigation: Continuous bladder irrigation is not a route for antibiotic administration. Antibiotics are given systemically (IV or oral) to prevent or treat infection, not through the irrigation solution.

D. Bladder irrigation prevents obstruction of the catheter after surgery: The primary purpose of continuous bladder irrigation after TURP is to prevent catheter blockage from blood clots and tissue debris. Maintaining catheter patency ensures urine drainage, reduces bladder distention, and decreases the risk of postoperative complications.

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Correct Answer is A

Explanation

A. Client who needs a beta blocker and has a blood pressure of 98/58 mm Hg: Administering a beta blocker to a client with low blood pressure could precipitate severe hypotension or shock. This client is the highest priority due to the immediate risk of hemodynamic instability.

B. Hypertensive client with blood pressure of 178/92 mm Hg: Elevated blood pressure requires monitoring and intervention, but it is not as immediately dangerous as giving a contraindicated medication to a hypotensive client.

C. Client who needs pain medication prior to dressing change of a surgical wound: Pain control is important for comfort and procedural tolerance, but it is not life-threatening.

D. Client who had a first dose of captopril and needs to use the bathroom: This client may need assistance for safety, but the situation is less urgent than the risk posed by administering a beta blocker to a hypotensive client.

A. Total cholesterol: 280 mg/dL (7.3 mmol/L) B. High-density lipoprotein cholesterol: 50 mg/dL (1.3 mmol/L) C. Triglycerides: 200 mg/dL (2.3 mmol/L) D. Serum albumin: 4 g/dL (5.8 mcmol/L) E. Low-density lipoprotein cholesterol: 160 mg/dL (4.1 mmol/L

Correct Answer is ["A","C","E"]

Explanation

A. Total cholesterol: 280 mg/dL (7.3 mmol/L): Elevated total cholesterol is a significant risk factor for atherosclerosis as it contributes to plaque formation in arterial walls.

B. High-density lipoprotein cholesterol: 50 mg/dL (1.3 mmol/L): HDL is considered “good” cholesterol. Levels ≥40 mg/dL are protective against atherosclerosis, so this value does not indicate increased risk.

C. Triglycerides: 200 mg/dL (2.3 mmol/L): Elevated triglycerides contribute to the development of atherosclerotic plaques and are a recognized cardiovascular risk factor.

D. Serum albumin: 4 g/dL (5.8 mcmol/L): Albumin levels reflect nutritional status and liver function, not directly atherosclerosis risk.

E. Low-density lipoprotein cholesterol: 160 mg/dL (4.1 mmol/L): High LDL, or “bad” cholesterol, is strongly associated with plaque buildup and the development of atherosclerosis, making it an important alert for cardiovascular risk.

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Which information about continues bladder irrigation will the nurse teach to a client who is being admitted for a transurethral resection of the prostrate (TURP)?

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