Following a transurethral resection of the prostate (TURP), a patient is discharged from the hospital with an indwelling urinary catheter. Which instruction is most important for the nurse to include in the discharge teaching plan?
Eliminate all spicy foods from your diet
Drink 3 liters of water each day
Clamp the catheter when taking a shower
Avoid driving a car for 2 weeks
The Correct Answer is B
Choice A rationale
While spicy foods can irritate the urinary tract, they do not have a direct impact on the care and management of an indwelling urinary catheter after a TURP3.
Choice B rationale
Drinking 3 liters of water each day is important as it helps flush the bladder and reduce the risk of urinary tract infections, which are a common complication after a TURP3.
Choice C rationale
Clamping the catheter is not typically recommended as it can lead to urinary retention and increase the risk of urinary tract infections.
Choice D rationale
Avoiding driving for 2 weeks is a general recommendation after any major surgery to allow the body time to heal, but it does not directly relate to the care of an indwelling urinary catheter.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
C. Double vision.Double vision, or diplopia, can indicatephenytoin toxicity, which is a serious condition that may lead to impaired vision and increased risk of falls or injuries. This side effect suggests that the patient may be experiencing adverse reactions to the medication, necessitating prompt evaluation and intervention, such as checking serum phenytoin levels and possibly adjusting the medication regimen
.The other options do not require immediate intervention:
- A. Chronic insomniais not a critical side effect of phenytoin and may be managed with lifestyle modifications or further assessment.
- B. Puffy, bleeding gumsare common side effects associated with phenytoin (gingival hyperplasia) but are not immediately life-threatening.
- D. Blood pressure 100/78 mm Hgis within normal limits and does not indicate a need for urgent action
Correct Answer is ["0.4"]
Explanation
Step 1 is to determine the amount of penicillin in each milliliter (mL) of the available solution. The vial is labeled as “Penicillin 500,000 units/mL”.
Step 2 is to divide the prescribed dose by the concentration per mL. So, the calculation is 200,000 units ÷ 500,000 units/mL. The result is 0.4 mL.
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