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

Ineffective peripheral tissue perfusion related to deep vein thrombosis

Acute pain related to pain of bladder spasms

Disturbed body image related the disfiguring surgery

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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Correct Answer is A

Explanation

A. Glycosylated hemoglobin A1C provides an average of the patient's blood glucose levels over the past 2-3 months and is the standard test used to evaluate long-term glycemic control in patients with diabetes.
B. A urine dipstick for glucose measures glucose in the urine but does not provide an accurate assessment of overall blood glucose control or effectiveness of treatment.
C. Fasting blood glucose is useful for assessing current blood sugar levels but does not reflect long-term management or control.
D. An oral glucose tolerance test is typically used for diagnosing diabetes rather than for ongoing monitoring of treatment effectiveness.

A. Metabolic alkalosis B. Respiratory alkalosis C. Metabolic acidosis D. Respiratory acidosis

Correct Answer is C

Explanation

A. Metabolic alkalosis would show a high HCO₃ level and elevated pH, which is not seen here.
B. Respiratory alkalosis would present with decreased PaCO₂ and elevated pH.
C. Metabolic acidosis is indicated by a low HCO₃ level (below 22 mEq/L) and low pH, consistent with the given values.
D. Respiratory acidosis would present with elevated PaCO₂ and a low pH, not shown in these results.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient with type 2 diabetes is scheduled for a follow-up visit in the clinic a few months from now. Which test will the nurse schedule to evaluate the effectiveness of treatment for the patient?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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A nurse working for a home health agency is teaching a client who has diabetes mellitus about disease management. Which of the following glycosylated hemoglobin (HbA1c) values should the nurse include in the teaching as an indicator that the client is appropriately controlling his glucose levels?

A nurse is caring for a client who is postoperative following a transurethral resection of the prostate. Which of the following complications is the priority for the nurse to monitor for?

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