Which information about continuous bladder irrigation will the nurse teach to a client who is being admitted for a transurethral resection of the prostate (TURP)?

Hydration and urine output are maintained by bladder irrigation.

Bladder irrigation prevents obstruction of the catheter after surgery.

Bladder irrigation decreases the risk of postoperative bleeding.

Antibiotics are infused continuously through the bladder irrigation.

Answer and Explanation

The Correct Answer is B

A. Hydration and urine output are maintained through IV fluids and kidney function, not bladder irrigation.

B. Continuous bladder irrigation prevents catheter obstruction by flushing out blood clots or debris after TURP surgery. This is the primary purpose of the procedure.

C. While bladder irrigation may help reduce bleeding indirectly by maintaining flow, it is not its main purpose.

D. Antibiotics are not typically administered via bladder irrigation; systemic routes are preferred for infection control.

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Correct Answer is C

Explanation

A. It is appropriate to monitor for symptoms of bradycardia, but the student is currently asymptomatic.

B. Referral to a cardiologist is not necessary unless the student develops symptoms or other concerning signs.

C. Sinus bradycardia can be normal in young, healthy athletes, especially those who engage in regular physical activity. Since the student is asymptomatic, with no signs of dyspnea, chest pain, or other concerning symptoms, there is no reason to restrict participation in sports.

D. Family history may be helpful, but this is not the immediate priority when the student is asymptomatic.

A. Insert a foley catheter. B. Schedule a pelvic magnetic resonance imaging test. C. Infuse normal saline at 50 ml/hr. D. Draw blood for a complete blood count.

Correct Answer is A

Explanation

A. The primary concern in this scenario is urinary retention, which can lead to kidney dysfunction (indicated by elevated BUN and creatinine). The priority intervention is relieving the retention by inserting a Foley catheter, which will help restore normal urinary output and prevent further complications.

B. MRI is not an immediate priority when the client is at risk for kidney damage due to urinary retention.

C. While IV fluids may be necessary, the first priority is relieving the obstruction causing urinary retention.

D. Drawing blood is important for assessing the client's condition but is not as urgent as managing urinary retention.

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Which information about continuous bladder irrigation will the nurse teach to a client who is being admitted for a transurethral resection of the prostate (TURP)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 20-year-old has a mandatory electrocardiogram (ECG) before participating on a college soccer team and is found to have sinus bradycardia, rate 52. The students blood pressure is 119/76 and denies any health issues. Which action by the nurse is most appropriate?

Correct Answer is C

Explanation

A client who has benign prostatic hyperplasia (BPH) with urinary retention is admitted to the hospital with elevated blood urea nitrogen (BUN) and creatinine levels. Which prescribed therapy should the nurse implement first?

Correct Answer is A

Explanation

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