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 D
Explanation
Choice A reason: Limiting milk intake is not typically necessary for managing gastritis unless the patient has lactose intolerance or a specific reaction to dairy. The focus should be on avoiding substances that irritate the stomach lining.
Choice B reason: Limiting strenuous exercise is generally not related to managing gastritis. Exercise can actually help with overall health, including digestive health, as long as it is not causing direct discomfort.
Choice C reason: Taking NSAIDs is counterproductive for a patient with gastritis, as NSAIDs can irritate the stomach lining and exacerbate symptoms. Patients are usually advised to avoid NSAIDs.
Choice D reason: Avoiding alcohol is crucial for managing gastritis, as alcohol can irritate and erode the stomach lining, leading to increased inflammation and pain.
Correct Answer is B
Explanation
Choice A reason: A question-and-answer session might provide information but does not specifically encourage the client to share their feelings and concerns about the colostomy. It's more about imparting knowledge rather than addressing emotional needs.
Choice B reason: Discussion is an effective strategy to encourage the client to share their feelings about the colostomy. It creates an open environment for expressing concerns, asking questions, and receiving emotional support.
Choice C reason: Role play can be useful in teaching new skills or preparing for specific situations, but it might not be the best initial approach for someone struggling to accept a new colostomy. Emotional readiness and comfort should be addressed first.
Choice D reason: Return demonstration is a method to confirm the client's understanding of a procedure by having them perform it. It is more appropriate for assessing practical skills rather than addressing emotional concerns and readiness to engage with the stoma.
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