A nurse is caring for a client who has prostate cancer and had a prostatectomy. Which of the following should the nurse understand is a potential complication of prostate surgery?
Testicular torsion
Erectile dysfunction
Cystitis
Paralytic ileus
The Correct Answer is B
Choice A reason: Testicular torsion is a condition where the spermatic cord twists, cutting off the blood supply to the testicle. It is not a common complication of prostate surgery but rather an acute, emergent condition affecting the testes.
Choice B reason: Erectile dysfunction is a potential complication of prostate surgery, particularly radical prostatectomy, due to the proximity of the nerves controlling erection. Nerve-sparing techniques are often used to minimize this risk, but some degree of dysfunction may still occur.
Choice C reason: Cystitis, an inflammation of the bladder, is not typically a direct complication of prostate surgery. While urinary issues can occur postoperatively, cystitis is more commonly associated with infections rather than surgical outcomes.
Choice D reason: Paralytic ileus, a temporary paralysis of the bowel, can occur after abdominal surgeries, including prostate surgery. However, it is not as specific to prostatectomy as erectile dysfunction.
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Related Questions
Correct Answer is B
Explanation
Choice A reason: Intake and output are important for overall fluid balance but do not directly measure the reduction in ascites after a paracentesis.
Choice B reason: Measuring abdominal girth provides a direct and specific indication of the volume of fluid removed from the peritoneal cavity. A decrease in abdominal girth indicates that the procedure effectively reduced the ascites.
Choice C reason: Blood pressure can be influenced by many factors and does not specifically measure the outcome of a paracentesis.
Choice D reason: Cardiac output is related to heart function and is not a direct measure of the success of a paracentesis in removing ascitic fluid.
Correct Answer is A
Explanation
Choice A reason: A serum creatinine level of 6 mg/dL is significantly elevated and indicates impaired kidney function, which is a hallmark of acute kidney injury (AKI). Normal creatinine levels are typically around 0.6 to 1.2 mg/dL for adults, so this level suggests severe kidney impairment.
Choice B reason: A serum potassium level of 4.5 mEq/L is within the normal range (3.5-5.0 mEq/L) and does not indicate acute kidney injury. Elevated potassium can be seen in AKI but is not the most specific indicator without other abnormal values.
Choice C reason: A hemoglobin level of 16 g/dL is within the normal range for adults (approximately 13.8 to 17.2 g/dL for men and 12.1 to 15.1 g/dL for women). It does not indicate acute kidney injury.
Choice D reason: A BUN level of 15 mg/dL is within the normal range (7-20 mg/dL) and does not indicate acute kidney injury on its own. Elevated BUN in conjunction with elevated creatinine would be more indicative of AKI.
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