A nurse is caring for a client who is 2 hr postoperative following a transurethral resection of the prostate (TURP) gland.

Which of the following assessments should the nurse view to be an indication of a postoperative complication?

Output of burgundy-colored urine.

Oral temperature of 38.2° C (100.76° F).

An urge to void despite having an indwelling urinary catheter.

Pulse rate of 88/min.

Answer and Explanation

The Correct Answer is A

Choice A rationale:
Output of burgundy colored urine can indicate bleeding, which is a complication after TURP.
Choice B rationale:
A slight fever might be normal postoperatively. However, a high fever could indicate an infection.
Choice C rationale:
An urge to void despite having an indwelling urinary catheter can be a normal sensation following surgery.
Choice D rationale:
A pulse rate of 88/min is within the normal range (60-100/min).

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Correct Answer is C

Explanation

Choice A rationale:
Obesity is a modifiable risk factor for stroke. Lifestyle changes can reduce this risk.
Choice B rationale:
History of hypertension is a modifiable risk factor. Blood pressure can be controlled with medication and lifestyle changes.
Choice C rationale:
Genetics is a nonmodifiable risk factor. If there is a family history of stroke, the risk of stroke can be higher.
Choice D rationale:
History of smoking is a modifiable risk factor. Quitting smoking can significantly reduce the risk of stroke.

A. Learn to control impulsive behavior. B. Improve left-side motor function. C. Compensate for loss of depth perception. D. Establish the ability to communicate effectively.

Correct Answer is D

Explanation

Choice A rationale:
This statement is incorrect. Impulsive behavior is more commonly associated with right hemispheric CVAs.
Choice B rationale:
This statement is incorrect. A left hemispheric CVA typically results in right-side motor function impairment.
Choice C rationale:
This statement is incorrect. Loss of depth perception is more commonly associated with right hemispheric CVAs.
Choice D rationale:
This statement is correct. Left hemispheric CVAs often result in language and speech impairments, so establishing effective communication would be a key goal in rehabilitation.

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A nurse is caring for a client who is 2 hr postoperative following a transurethral resection of the prostate (TURP) gland. Which of the following assessments should the nurse view to be an indication of a postoperative complication?

Nursing Test Bank

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A nurse is caring for a client who is 2 hr postoperative following a transurethral resection of the prostate (TURP) gland.

Which of the following assessments should the nurse view to be an indication of a postoperative complication?