When assessing a client who had a transurethral resection of the prostate (TURP) one day ago, the nurse observes that his scrotum and penis are edematous. Which intervention(s) should the nurse implement? Select all that apply.

Put a pillow under the buttocks.

Apply a cold pack to the scrotal and penile areas.

Obtain a specimen for urinalysis.

Remove the indwelling urinary catheter.

Notify the healthcare provider immediately.

Answer and Explanation

Correct Answer : B,E

Choice A reason: Elevating the buttocks with a pillow is not specifically indicated in the scenario provided. While it might assist in other situations to reduce swelling by using gravity, it isn't a standard intervention for the described situation post-TURP.

Choice B reason: Applying a cold pack to the scrotal and penile areas can help reduce the swelling and discomfort associated with edema. Cold therapy is effective in constricting blood vessels and reducing inflammation, making it an appropriate immediate intervention.

Choice C reason: While obtaining a urinalysis might provide information on the presence of infection or other abnormalities, it does not directly address the immediate issue of the observed edema. Therefore, it is not a primary intervention in this scenario.

Choice D reason: Removing the indwelling urinary catheter without specific orders can lead to complications and is not advised as an initial intervention. The catheter serves a critical purpose post-surgery and should be handled according to protocol or provider direction.

Choice E reason: Notifying the healthcare provider immediately is crucial when unexpected postoperative complications such as edema occur. Prompt communication allows for timely medical intervention and ensures that the patient receives the necessary care.

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Correct Answer is B

Explanation

Choice A reason: Assessing skin turgor is important for hydration status but not specifically related to prasugrel.

Choice B reason: Observing the color of urine is important as it can indicate hematuria (blood in the urine), a potential adverse effect of prasugrel, which is an antiplatelet medication that increases the risk of bleeding.

Choice C reason: Checking for pedal edema is important for overall cardiovascular assessment but not specifically related to monitoring adverse effects of prasugrel.

Choice D reason: Measuring body temperature is important for detecting infection but not specifically related to prasugrel's adverse effects.

Correct Answer is ["0.75"]

Explanation

Calculation Steps:

Step 1: Determine the concentration of the reconstituted solution: 0.25 mg/mL. Result = 0.25 mg/mL.

Step 2: Calculate the volume needed for the prescribed dose: 0.1875 mg ÷ 0.25 mg/mL = 0.75 mL.

Result = 0.75 mL.

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When assessing a client who had a transurethral resection of the prostate (TURP) one day ago, the nurse observes that his scrotum and penis are edematous. Which intervention(s) should the nurse implement? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Following a cardiac catheterization and placement of a stent in the right coronary artery, the nurse administers prasugrel to the client. To monitor for adverse effects from the medication, which assessment is most important for the nurse to include in this client's plan of care?

Correct Answer is B

Explanation

Correct Answer is ["0.75"]

Explanation

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