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A common nursing diagnosis for a client in the immediate postoperative phase after transurethral resection of the prostate (TURP) is:

A.

Ineffective peripheral tissue perfusion related to deep vein thrombosis

B.

Acute pain related to pain of bladder spasms

C.

Disturbed body image related the disfiguring surgery

D.

Imbalanced nutrition, less than body requirements

Answer and Explanation

The Correct Answer is B

A. While monitoring for complications such as DVT is necessary, it is not the primary concern in the immediate postoperative phase.
B. Acute pain related to bladder spasms is a common postoperative issue for TURP patients due to the urinary catheter and bladder irrigation. Managing pain is a priority for patient comfort and recovery.
C. TURP does not typically lead to body image disturbances as it does not result in visible or disfiguring changes.
D. Imbalanced nutrition is not an immediate postoperative priority following TURP.


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Related Questions

Correct Answer is ["56"]

Explanation

To calculate the flow rate for an IV bolus of Ringer's lactate to be infused over 3 hours, you would use the formula: (Volume in mL * Drop factor) / Time in minutes. For 500 mL of Ringer's lactate with a drop factor of 20 gtt/mL over 180 minutes (3 hours), the calculation would be (500 * 20) / 180, which equals 55.55. Rounding to the nearest whole number, the nurse should set the manual IV infusion to deliver 56 gtt/min.

Correct Answer is C

Explanation

A. Maintaining bed rest is not typically required after an IVP unless otherwise indicated for the patient's condition.
B. Administering a laxative is not a standard intervention following an IVP unless the patient specifically requires it for bowel preparation or constipation.
C. Encouraging adequate fluid intake is crucial after the administration of contrast medium to help flush the kidneys and minimize the risk of contrast-induced nephropathy.
D. While assessing for hematuria may be appropriate, it is not a primary intervention directly related to the IVP procedure itself.

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