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

Hydration and urine output are maintained by bladder irrigation.

Bladder irrigation prevents obstruction of the catheter after surgery.

Bladder irrigation decreases the risk of postoperative bleeding.

Antibiotics are infused continuously through the bladder irrigation.

Answer and Explanation

The Correct Answer is B

A. Hydration and urine output are maintained through IV fluids and kidney function, not bladder irrigation.

B. Continuous bladder irrigation prevents catheter obstruction by flushing out blood clots or debris after TURP surgery. This is the primary purpose of the procedure.

C. While bladder irrigation may help reduce bleeding indirectly by maintaining flow, it is not its main purpose.

D. Antibiotics are not typically administered via bladder irrigation; systemic routes are preferred for infection control.

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Correct Answer is A

Explanation

A. Atrial fibrillation (AF) is more common in older adults, particularly those with underlying conditions like chronic obstructive pulmonary disease (COPD). COPD can lead to structural changes in the heart, increasing the risk of AF. The elderly are particularly vulnerable due to age-related heart changes and comorbidities such as lung disease.

B. While carotid endarterectomy is a surgical procedure that can be related to stroke prevention, it is not directly associated with a higher risk of AF compared to COPD.

C. Aspirin is used for its antiplatelet effects, not directly related to the risk of AF.

D. Post coronary artery bypass graft (CABG) surgery increases the risk for arrhythmias, but it is less directly linked to AF than conditions like COPD in an older adult.

A. A breast lump that is small, mobile and rubbery in consistency. B. A breast nodule that is 1 cm in size, nontender, and fixed. C. Bilateral breast nodules that are tender with palpation. D. A breast lump that increases in size before the menstrual period.

Correct Answer is B

Explanation

A. A small, mobile, rubbery lump is often benign, such as a fibroadenoma.

B. A nontender, fixed breast nodule is concerning for malignancy, and further evaluation is necessary, such as imaging or biopsy.

C. Tender, bilateral nodules are commonly seen in benign conditions like fibrocystic breast changes, especially related to the menstrual cycle.

D. A lump that changes in size before menstruation is also typical of benign conditions like fibrocystic changes.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing clients on a medical-surgical unit. Which client would the nurse identify as being at greatest risk for atrial fibrillation?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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