A. Discharging a client on the same day of TURP surgery is not common due to the need for monitoring and management of postoperative complications.

B. A hospital stay of about a week is more extended than usual for TURP surgery, which typically requires a shorter stay.

C. This is the correct answer. Most clients who undergo TURP can expect to stay in the hospital for 2 to 3 days for close postoperative monitoring and management of any complications.

D. Discharging a client on the same day of surgery is not standard practice for TURP, as immediate postoperative monitoring is necessary.

A. Educating the client about postoperative care instructions is essential, but it is not the primary responsibility related to informed consent.

B. This is the correct answer. The nurse's primary responsibility is to ensure that the client is adequately informed about the risks, benefits, and alternatives to the surgery and that they provide voluntary and informed consent. The nurse witnesses the client's signature on the consent form to verify that the client understands and agrees to the procedure.

C. Explaining the surgical procedure is part of the informed consent process, but witnessing the client's signature is the primary responsibility related to informed consent.

D. Ensuring the client is medically fit for the surgery is crucial, but it is not the primary responsibility related to informed consent.

A. Administering pain relief may be necessary, but the nurse's first action should be to notify the healthcare provider about the client's severe pain and other concerning symptoms.

B. This is the correct answer. Severe lower abdominal pain, difficulty urinating, and the presence of blood clots in the urine may indicate postoperative complications after TURP. The nurse should notify the healthcare provider immediately for further evaluation and intervention.

C. Encouraging the client to drink more fluids may be helpful, but it is not the first action when the client experiences severe pain and other concerning symptoms.

D. Deep breathing exercises can help manage pain, but the nurse should first address the client's acute symptoms and notify the healthcare provider for appropriate intervention.

A. This is the correct answer. TURP can cause temporary sexual dysfunction due to the proximity of the prostate to the nerves and blood vessels that control sexual function. However, in many cases, sexual function improves over time as the surgical site heals.

B. While sexual dysfunction can occur after TURP, it is not a common complication, and there are potential treatment options available.

C. TURP can have an impact on sexual function, and it is essential for the client to be aware of this possibility.

D. Sexual dysfunction after TURP is typically temporary and not a permanent outcome.

A. Resuming regular activities immediately after discharge may not be advisable, as the client needs time to recover and heal from the surgical procedure.

B. While the client may need to limit certain activities, waiting for a week before resuming any activities is not necessary in most cases.

C. Avoiding all physical activities is not necessary, and it may lead to deconditioning and delayed recovery.

D. This is the correct answer. The client should gradually resume their regular activities as they tolerate, but they should avoid heavy lifting and strenuous exercises for a few weeks to promote healing and prevent complications after TURP.

Questions

A. Increasing fluid intake may not be necessary before TURP surgery and could lead to over-distension of the bladder, making catheterization difficult.

B. Limiting fluid intake is not recommended as the client needs adequate hydration before surgery to support the body's normal functions.

C. This is the correct answer. Emptying the bladder completely before TURP surgery helps reduce the risk of infection and prevents complications during the procedure.

D. Kegel exercises are beneficial for pelvic floor muscle strengthening but are not specifically required before TURP surgery.

A. Sharing personal experiences of other clients may not be appropriate, as each individual's experience is unique, and it may not alleviate the client's anxiety.

B. Avoiding discussing the surgical procedure can increase the client's anxiety, as they may feel uninformed and uncertain about the surgery.

C. While explaining the surgical procedure is important, listening to the client's concerns and providing emotional support are equally crucial in alleviating anxiety.

D. This is the correct answer. Actively listening to the client's concerns allows the nurse to understand their fears and provide appropriate emotional support, which can help alleviate anxiety before TURP surgery.

A. This is the correct answer. Informing the healthcare provider about the client's anticoagulant medication is crucial before surgery, as it can affect the surgical plan and potential bleeding risks during TURP.

B. Withholding all medications, including anticoagulants, should only be done under the direction of the healthcare provider and anesthesia team. Abruptly stopping anticoagulants can lead to significant medical risks.

C. Continuing the anticoagulant as prescribed may pose a bleeding risk during surgery, so it is essential to involve the healthcare provider in the decision.

D. Administering a blood-thinning agent to counteract the anticoagulant effects is not appropriate and can lead to complications. The healthcare provider should decide on the management of anticoagulation therapy before surgery.

A. General anesthesia may not be necessary for TURP surgery, as it is typically performed using regional anesthesia like spinal or epidural anesthesia.

B. This is the correct answer. TURP surgery is usually done using spinal anesthesia, which numbs the lower part of the body, allowing the client to remain awake during the procedure while avoiding pain and discomfort.

C. The of anesthesia is usually determined before the day of the surgery based on the client's medical history and surgical plan.

D. Local anesthesia alone may not be sufficient for pain relief during TURP surgery, as it involves a more extensive procedure that requires regional anesthesia to achieve better pain control.

A. While the client's marital status and family support are important aspects of the client's life, they are not directly related to the client's readiness for TURP surgery.

B. The client's dietary preferences and meal schedule are important for overall health but are not the priority during the preoperative assessment for TURP.

C. This is the correct answer. The nurse should prioritize assessing the client's allergies and medication history to identify any potential risks or adverse reactions during the surgical procedure and anesthesia.

D. The client's educational background and employment status may not be directly relevant to TURP surgery and are not the priority during the preoperative assessment.

A. Erectile dysfunction may be a concern after TURP, but it is not the most common postoperative complication.

B. Incontinence can occur after TURP, but it is not the most common postoperative complication.

C. This is the correct answer. Hematuria, or blood in the urine, is the most common postoperative concern for clients undergoing TURP. It is expected for a short period after the surgery and should gradually improve.

D. Retrograde ejaculation may occur after TURP, but it is not the most common postoperative complication.

A. Keeping the catheter in place for at least two weeks after TURP is not typical. The duration of catheterization varies depending on the client's recovery and ability to urinate.

B. The catheter is often necessary after TURP to drain the bladder and prevent urinary retention. It is usually removed once the client can urinate normally without difficulty.

C. This is the correct answer. The catheter will remain in place until the client can urinate normally without difficulty, which typically occurs once the swelling and inflammation in the urinary tract subside.

D. Removing the catheter the day after surgery may not be appropriate, as the client may still have difficulty urinating due to the effects of the surgery. The removal of the catheter is based on the client's ability to urinate comfortably and effectively.

Questions

A. While anesthesia can cause irritation, it is not the primary reason for removing dentures before TURP surgery.

B. This is the correct answer. Removing dentures reduces the risk of aspiration (inhaling fluids or secretions) during surgery, which can lead to serious complications.

C. While some hospitals may have policies about removing dentures, the main concern here is the safety and prevention of aspiration.

D. Leaving dentures in place during surgery may not interfere with surgical instruments directly, but the main concern is the risk of aspiration.

A. This is the correct answer. Bladder perforation is a significant complication that requires immediate attention. The nurse should inform the surgical team to address the situation promptly.

B. Notifying the client's family about the complication is not the immediate action. The priority is to inform the surgical team and manage the situation.

C. While documentation is essential, it is not the immediate action required in this critical situation.

D. Administering pain medication may be necessary, but the priority is to address the bladder perforation and involve the surgical team to manage the complication.

A. Maintaining strict fluid restrictions may not be necessary during TURP surgery and can lead to dehydration.

B. Preventing dehydration is essential, but the primary reason for fluid intake and output monitoring is to detect potential complications related to fluid overload or imbalance.

C. While proper irrigation of the surgical site is essential, fluid intake and output monitoring serve a broader purpose of assessing overall fluid balance and preventing complications.

D. This is the correct answer. Monitoring fluid intake and output during TURP surgery allows the nurse to assess for signs of fluid overload or imbalance, which can occur due to irrigation fluids and potential bleeding.

A. Administering pain medication may not be appropriate for these symptoms, as the client's condition requires immediate attention and assessment.

B. This is the correct answer. The sudden onset of tachycardia, hypotension, and confusion indicates a potential complication or adverse reaction that requires immediate intervention from the surgical and anesthesia teams.

C. Reassuring the client is important, but it is not the priority when the client is experiencing concerning symptoms.

D. Initiating a rapid infusion of intravenous fluids may not be appropriate without a proper assessment and evaluation of the client's condition. The priority is to inform the surgical and anesthesia teams to address the situation promptly.

A. The prone position with the abdomen elevated is not the appropriate position for TURP surgery.

B. The supine position with the legs elevated is not the appropriate position for TURP surgery.

C. This is the correct answer. The lithotomy position with the feet in stirrups is the standard position for TURP surgery, as it provides access to the urinary tract for the procedure.

D. The lateral position with the affected side up is not the appropriate position for TURP surgery, as it does not provide the necessary access to the urinary tract.

Questions

A. While anesthesia can cause irritation, it is not the primary reason for removing dentures before TURP surgery.

B. This is the correct answer. Removing dentures reduces the risk of aspiration (inhaling fluids or secretions) during surgery, which can lead to serious complications.

C. While some hospitals may have policies about removing dentures, the main concern here is the safety and prevention of aspiration.

D. Leaving dentures in place during surgery may not interfere with surgical instruments directly, but the main concern is the risk of aspiration.

A. This is the correct answer. Bladder perforation is a significant complication that requires immediate attention. The nurse should inform the surgical team to address the situation promptly.

B. Notifying the client's family about the complication is not the immediate action. The priority is to inform the surgical team and manage the situation.

C. While documentation is essential, it is not the immediate action required in this critical situation.

D. Administering pain medication may be necessary, but the priority is to address the bladder perforation and involve the surgical team to manage the complication.

A. Maintaining strict fluid restrictions may not be necessary during TURP surgery and can lead to dehydration.

B. Preventing dehydration is essential, but the primary reason for fluid intake and output monitoring is to detect potential complications related to fluid overload or imbalance.

C. While proper irrigation of the surgical site is essential, fluid intake and output monitoring serve a broader purpose of assessing overall fluid balance and preventing complications.

D. This is the correct answer. Monitoring fluid intake and output during TURP surgery allows the nurse to assess for signs of fluid overload or imbalance, which can occur due to irrigation fluids and potential bleeding.

A. Administering pain medication may not be appropriate for these symptoms, as the client's condition requires immediate attention and assessment.

B. This is the correct answer. The sudden onset of tachycardia, hypotension, and confusion indicates a potential complication or adverse reaction that requires immediate intervention from the surgical and anesthesia teams.

C. Reassuring the client is important, but it is not the priority when the client is experiencing concerning symptoms.

D. Initiating a rapid infusion of intravenous fluids may not be appropriate without a proper assessment and evaluation of the client's condition. The priority is to inform the surgical and anesthesia teams to address the situation promptly.

A. The prone position with the abdomen elevated is not the appropriate position for TURP surgery.

B. The supine position with the legs elevated is not the appropriate position for TURP surgery.

C. This is the correct answer. The lithotomy position with the feet in stirrups is the standard position for TURP surgery, as it provides access to the urinary tract for the procedure.

D. The lateral position with the affected side up is not the appropriate position for TURP surgery, as it does not provide the necessary access to the urinary tract.

Questions

A. This is the correct answer. The priority intervention for suspected UTI is to administer prescribed antibiotics to treat the infection and prevent its spread.

B. While increased fluid intake is essential, it is not the priority when the client is exhibiting signs of a UTI. Antibiotics should be given to address the infection promptly.

C. Monitoring vital signs and urine output is important, but the priority is to treat the infection with antibiotics.

D. Applying warm compresses to the abdomen may provide some comfort but does not address the underlying UTI.

A. While encouraging fluid intake is important, severe pain during urination and inability to void after TURP surgery require further evaluation and intervention by the healthcare provider.

B. This is the correct answer. Severe pain and inability to void after TURP surgery may indicate a complication or urinary retention that requires immediate attention from the healthcare provider.

C. Documenting the client's complaints is essential, but the nurse should not delay notifying the healthcare provider about the client's symptoms.

D. Instructing the client to perform Kegel exercises is not the priority when the client is experiencing severe pain and inability to void after TURP surgery. The client's symptoms require prompt evaluation and intervention.

A. While maintaining hydration is important, the priority is to address the continuous bright red bleeding from the urinary catheter by notifying the healthcare provider immediately.

B. Clamping the catheter may obstruct urine flow and worsen the situation. The nurse should not intervene without healthcare provider guidance.

C. Administering fresh frozen plasma may be necessary in some situations, but it is not the immediate action for addressing continuous bleeding from the urinary catheter.

D. This is the correct answer. Continuous bright red bleeding from the urinary catheter after TURP surgery may indicate bleeding complications that require immediate intervention and evaluation by the healthcare provider.

A. Administering diuretics may be necessary, but the priority is to improve respiratory distress and oxygenation by elevating the head of the bed and providing oxygen therapy.

B. This is the correct answer. The priority intervention for signs of fluid overload is to improve respiratory function and oxygenation by elevating the head of the bed and providing oxygen therapy as needed.

C. Encouraging the client to limit fluid intake is not the priority when the client is experiencing signs of fluid overload. The focus should be on improving respiratory function.

D. Restricting sodium intake may be appropriate in some cases, but the priority is to address the respiratory distress associated with fluid overload.

A. This is the correct answer. Encouraging the client to perform pelvic floor exercises, also known as Kegel exercises, can help strengthen the pelvic floor muscles and improve urinary control after TURP surgery.

B. Applying a condom catheter may not address the underlying issue of urinary incontinence after TURP surgery. It is more appropriate for managing male urinary incontinence in other contexts.

C. Inserting an indwelling urinary catheter for continuous drainage is not the first-line intervention for urinary incontinence after TURP surgery. It may increase the risk of complications such as infection and should be used judiciously.

D. Administering an anticholinergic medication may be appropriate in some cases, but it is not

the primary intervention for urinary incontinence after TURP surgery. Pelvic floor exercises are a non-pharmacological approach to address the issue.

A. Assessing pain level and administering pain medication is important, but the priority during the immediate postoperative period is to monitor vital signs and assess for signs of hemorrhage or other complications.

B. This is the correct answer. Monitoring vital signs and assessing for signs of hemorrhage, such as continuous bright red bleeding, tachycardia, and hypotension, is essential to detect and address any complications promptly.

C. Evaluating the client's urinary output and catheter patency is important but may not be the immediate priority if there are concerns about hemorrhage or other complications.

D. Assessing the client's surgical incision for signs of infection is essential, but it may not be the immediate priority during the immediate postoperative period. The focus should be on assessing vital signs and for signs of bleeding or other complications.

Questions

A. Resuming driving the day after TURP surgery may not be safe, as the client may still be recovering from the effects of anesthesia and the procedure.

B. This is the correct answer. The client should avoid driving for at least six to eight weeks after TURP surgery to ensure proper healing and prevent complications.

C. The removal of the catheter may not be the only factor affecting the client's ability to drive safely. The nurse should advise the client to wait for six to eight weeks before resuming driving.

D. Avoiding driving for just one week may not be sufficient for proper recovery after TURP surgery.

A. This is the correct answer. Administering pain medication as prescribed by the healthcare provider is the most appropriate intervention to manage postoperative pain after TURP surgery.

B. Deep breathing exercises are helpful for preventing respiratory complications, but they may not be sufficient for managing postoperative pain.

C. Applying a heating pad to the surgical site is not recommended as it may increase the risk of bleeding and other complications.

D. While distractions can provide some comfort, they may not be enough to effectively manage postoperative pain. Pain medication is the primary intervention.

A. Cleaning the catheter with alcohol wipes may irritate the urethra and increase the risk of infection. The catheter should not be cleaned with alcohol wipes.

B. Flushing the catheter with sterile water may introduce pathogens into the urinary tract and increase the risk of infection. The catheter should not be flushed with sterile water.

C. This is the correct answer. Keeping the catheter bag below the level of the bladder prevents urine from flowing back into the bladder, reducing the risk of infection.

D. The catheter should not be replaced weekly unless there is a specific indication for catheter change. Catheter replacement should be done according to the healthcare provider's instructions and protocols.

A. While erectile dysfunction can occur after TURP surgery, it is not accurate to describe it as a "common" complication. The actual incidence varies among individuals.

B. This is the correct answer. Erectile dysfunction is a possible complication after TURP surgery due to the proximity of nerves involved in erectile function. However, it is often temporary and resolves within a few months as the body heals.

C. TURP surgery can have an impact on erectile function due to its proximity to the nerves and structures involved in sexual function.

D. It is not appropriate for the nurse to dismiss the client's concerns. Erectile dysfunction is a valid concern for many clients undergoing TURP surgery.

A. Increasing fluid intake is important, but excessive fluid consumption may put additional stress on the bladder and cause discomfort. The client should maintain adequate fluid intake without overhydration.

B. Limiting protein intake is not typically necessary after TURP surgery unless there are specific medical reasons for such restrictions.

C. This is not an appropriate recommendation. Foods that are high in fiber and whole grains are beneficial for overall health, including gastrointestinal function.

D. This is the correct answer. Consuming caffeine and alcohol in moderation is recommended after TURP surgery. These substances can act as diuretics, increasing the need to urinate and potentially causing discomfort for the client.

A. Encouraging the client to delay voiding may lead to urinary retention and increase the risk of complications. This is not an appropriate intervention for urinary urgency and frequency after TURP surgery.

B. Limiting fluid intake may lead to dehydration and affect the overall health of the client. Adequate fluid intake is important for proper healing and preventing complications after TURP surgery.

C. This is the correct answer. Anticholinergic medications can help reduce urinary urgency and frequency by relaxing the bladder muscles and reducing bladder spasms.

D. Kegel exercises are helpful for strengthening the pelvic floor muscles but may not be the best intervention for addressing urinary urgency and frequency after TURP surgery. Anticholinergic medications are more appropriate in this case.

A) This response is not accurate. TURP is primarily performed for benign prostatic hyperplasia (BPH) or prostate enlargement and not for prostate cancer removal.

B) This is the correct answer. TURP is a surgical procedure that involves removing a portion of the prostate gland to alleviate urinary symptoms caused by BPH, such as urinary frequency, urgency, and difficulty in urination.

C) This statement is not accurate. TURP is a therapeutic procedure, not a diagnostic one.

D) This response is incorrect. TURP is a surgical procedure and does not involve catheter insertion for drainage.

A) This is the correct answer. Infection is a significant concern after TURP surgery due to the potential introduction of bacteria during the procedure or through catheterization. It can lead to urinary tract infections or systemic infections if not managed promptly.

B) Anemia may be a concern in some cases, but infection is a more immediate and potentially serious complication to address.

C) Weight gain and muscle weakness are not typical complications associated with TURP surgery.

A) Resuming heavy lifting and strenuous exercises immediately after TURP surgery can lead to complications such as bleeding or wound disruption.

B) This is the correct answer. The client should avoid heavy lifting and strenuous exercises for at least six to eight weeks after surgery to allow for proper healing and to prevent complications.

C) Resuming heavy lifting and strenuous exercises just two days after surgery is not recommended as the body needs time to heal.

D) Avoiding heavy lifting and strenuous exercises for one week may not be sufficient for proper healing after TURP surgery.