A client, who has undergone a transurethral resection of the bladder tumor (TURBT), complains of bladder spasms and has continuous bladder irrigation running. Which nursing action is most appropriate for this problem?
Instruct the client to "bear down" to relieve the spasms
Warm the irrigation solution to body temperature
Administer the prescribed prn belladonna and opium suppository
Administer the prescribed prn meperidine 75 mg IV
The Correct Answer is C
A. This is not an appropriate action as it can increase pressure on the bladder and worsen the spasms.
B. While warming the irrigation solution can help to prevent discomfort, it is not the most effective way to address the bladder spasms.
C. Belladonna and opium suppositories are commonly used to relieve bladder spasms. They work by relaxing the muscles in the bladder and reducing pain. In a client who has undergone TURBT and is experiencing continuous bladder irrigation, these suppositories can be an effective way to manage discomfort.
D. Meperidine is a narcotic pain reliever that can be used to manage pain after surgery. However, it is not specifically indicated for bladder spasms and may not be the most appropriate medication in this case.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Ascites is a condition where excess fluid accumulates in the abdominal cavity. It is a common finding in advanced-stage ovarian cancer as the cancer can spread to the abdominal organs and lymph nodes, leading to fluid buildup.
B. Chest pressure is not a typical symptom of advanced-stage ovarian cancer. It might be associated with other conditions, such as heart disease or lung problems.
C. Painful urination is not a common symptom of advanced-stage ovarian cancer. It might be associated with other conditions, such as urinary tract infections or bladder problems.
D. Excessive flatus is not a typical symptom of advanced-stage ovarian cancer. It might be associated with other gastrointestinal conditions.
Correct Answer is A
Explanation
A. This response is relevant and helps assess the characteristics of the lump. Pain can be an important factor in differentiating between conditions, such as epididymitis, testicular torsion, or tumors. However, while it is a useful question, it may not provide a comprehensive assessment of the situation.
B. This question can be relevant depending on the underlying cause of the lump. Issues with urination may suggest a problem related to the prostate or bladder rather than the testicle itself. While it can help assess urinary tract involvement, it may not directly address the significance of the lump in the testicle.
C. This question is important in the context of sexually transmitted infections (STIs), which can cause scrotal swelling or lumps due to conditions like epididymitis or orchitis. However, it does not directly assess the lump itself, making it less focused on the immediate concern.
D. This question addresses the possibility of an STI and related conditions. While it is relevant, it is not the best immediate question concerning the lump in the testicle. The presence of discharge may not directly correlate with the testicular lump itself.
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