A nurse is collecting data from a client who is 1 day postoperative following a transurethral resection of the prostate. Which of the following findings should the nurse report to the provider?

Frequent urge to urinate

Occasional small clots in the urine

Dark red urine

Urine output of 300 mL over 8 hr

Answer and Explanation

The Correct Answer is C

A. Frequent urge to urinate: Urinary frequency and urgency are expected findings after TURP due to bladder and urethral irritation from surgery and catheterization. These sensations typically improve as inflammation subsides and do not require immediate provider notification.

B. Occasional small clots in the urine: Small clots can be expected during the early postoperative period following TURP as the prostatic tissue heals. Continuous bladder irrigation often helps flush these clots, and their presence alone does not indicate a complication unless they become large or obstruct urine flow.

C. Dark red urine: Dark red urine indicates active bleeding and is an abnormal finding 1 day post-TURP. This suggests possible hemorrhage or inadequate hemostasis and requires prompt provider notification to prevent complications such as clot retention or hypovolemia.

D. Urine output of 300 mL over 8 hr: This urine output averages approximately 37.5 mL/hr, which is within acceptable limits for an adult postoperative client. Adequate output suggests sufficient renal perfusion and does not require immediate intervention.

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Correct Answer is D

Explanation

A. Cimetidine: Cimetidine is an H2-receptor antagonist used for gastric acid reduction. It does not significantly increase the risk of bleeding when taken with enoxaparin and is generally considered safe for concurrent use.

B. Docusate: Docusate is a stool softener and does not affect coagulation. It is safe to use with enoxaparin and can help prevent constipation associated with reduced mobility or opioid use.

C. Calcium supplement: Calcium supplements do not impact anticoagulation or platelet function. They are safe to take with enoxaparin and do not increase bleeding risk.

D. Naproxen: Naproxen is a nonsteroidal anti-inflammatory drug (NSAID) that inhibits platelet function and can increase the risk of bleeding when taken with enoxaparin. Clients should avoid NSAIDs unless approved by the provider and use alternative pain management strategies.

A. “I’d like to hear your thoughts about giving yourself this medication.” B. "You will suffer serious health issues if you don't take your medication." C. "Why don't you want to learn how to give yourself your medication?" D. “Have you considered how your decision to refuse medication will affect your family?"

Correct Answer is A

Explanation

A. “I’d like to hear your thoughts about giving yourself this medication.”: This response uses open-ended, therapeutic communication that invites the client to express concerns, fears, or misconceptions. It demonstrates respect for autonomy and helps build trust while allowing the nurse to assess readiness to learn. Understanding the client’s perspective is essential before providing education or problem-solving.

B. “You will suffer serious health issues if you don't take your medication.”: This response uses fear and threats, which can increase anxiety and resistance rather than promote cooperation. It does not encourage dialogue or address the client’s underlying concerns.

C. “Why don't you want to learn how to give yourself your medication?”: Questions beginning with “why” can feel accusatory or judgmental, causing the client to become defensive. Although the nurse needs to understand the client’s reluctance, this phrasing may inhibit open communication. A more neutral approach is preferred.

D. “Have you considered how your decision to refuse medication will affect your family?”: This response applies guilt and shifts the focus away from the client’s feelings and autonomy. It does not promote therapeutic communication or support informed decision-making. Using guilt can undermine trust and collaboration.

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A nurse is collecting data from a client who is 1 day postoperative following a transurethral resection of the prostate. Which of the following findings should the nurse report to the provider?

Nursing Test Bank

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