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 ["B","D"]

Explanation

A. Monitoring blood glucose levels is not directly related to managing fluid volume excess.
B. Weighing the client daily is essential for monitoring fluid retention and the effectiveness of interventions.
C. Preparing for hemodialysis is only necessary for severe fluid overload unresponsive to other treatments.
D. Restricting sodium in the diet helps prevent further fluid retention and supports management of FVE.
E. Changing IV fluids to D5W is not appropriate, as it could exacerbate fluid volume excess by increasing fluid load.

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

The nurse documents that the client has a problem of fluid volume excess (FVE). Which intervention should the nurse include in the plan of care? Select all that apply.

Correct Answer is ["B","D"]

Explanation

A nurse is caring for a client who has the following arterial blood gas results: HCO, 20 mEq, PaCO2 40 mm Hg and pH 7.32. The nurse recognizes the client is experiencing which of the following acid base imbalances?

Correct Answer is C

Explanation

The client asks the nurse, "how did I get this urinary tract infection?" the nurse should explain that in most instances, cystitis is caused by:

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