Review Transurethral resection of the prostate

Genito-Urinary System Disorders > Medical Surgical

Exam Review

Transurethral resection of the prostate

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Question 1:

A client undergoing a TURP asks the nurse how long they can expect to remain in the hospital after the procedure. What is the nurse's best response?

A. "You will be discharged the same day of the surgery." B. "You may need to stay in the hospital for about a week." C. "Plan to stay in the hospital for at least 2 to 3 days." D. "Hospital stay is usually reserved for patients with complications, so you may go home the same day."

Answer and Explanation

Choice A:

Discharging a client on the same day of TURP surgery is not common due to the need for monitoring and management of postoperative complications.

Choice B:

A hospital stay of about a week is more extended than usual for TURP surgery, which typically requires a shorter stay.

Choice C:

This is the correct answer. Most clients who undergo TURP can expect to stay in the hospital for 2 to 3 days for close postoperative monitoring and management of any complications.

Choice D:

Discharging a client on the same day of surgery is not standard practice for TURP, as immediate postoperative monitoring is necessary.

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Question 2:

A nurse is preparing a client for TURP surgery and ensuring informed consent. What is the nurse's primary responsibility related to informed consent?

A. Educating the client about postoperative care instructions. B. Witnessing the client's signature on the consent form. C. Explaining the surgical procedure in detail to the client. D. Ensuring the client is medically fit for the surgery.

Answer and Explanation

Choice A:

Educating the client about postoperative care instructions is essential, but it is not the primary responsibility related to informed consent.

Choice B:

This is the correct answer. The nurse's primary responsibility is to ensure that the client is adequately informed about the risks, benefits, and alternatives to the surgery and that they provide voluntary and informed consent. The nurse witnesses the client's signature on the consent form to verify that the client understands and agrees to the procedure.

Choice C:

Explaining the surgical procedure is part of the informed consent process, but witnessing the client's signature is the primary responsibility related to informed consent.

Choice D:

Ensuring the client is medically fit for the surgery is crucial, but it is not the primary responsibility related to informed consent.

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Question 3:

A client who underwent a TURP reports severe lower abdominal pain and difficulty urinating. The nurse observes blood clots in the client's urine bag. What action should the nurse take first?

A. Administer a pain reliever as ordered by the healthcare provider. B. Notify the healthcare provider immediately about the client's symptoms. C. Encourage the client to drink more fluids to dilute the urine. D. Instruct the client to perform deep breathing exercises to manage pain.

Answer and Explanation

Choice A:

Administering pain relief may be necessary, but the nurse's first action should be to notify the healthcare provider about the client's severe pain and other concerning symptoms.

Choice B:

This is the correct answer. Severe lower abdominal pain, difficulty urinating, and the presence of blood clots in the urine may indicate postoperative complications after TURP. The nurse should notify the healthcare provider immediately for further evaluation and intervention.

Choice C:

Encouraging the client to drink more fluids may be helpful, but it is not the first action when the client experiences severe pain and other concerning symptoms.

Choice D:

Deep breathing exercises can help manage pain, but the nurse should first address the client's acute symptoms and notify the healthcare provider for appropriate intervention.

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Question 4:

A client is scheduled for a TURP and expresses concerns about potential sexual dysfunction after the procedure. How should the nurse respond to the client's concerns?

A. "TURP may lead to temporary sexual dysfunction, but it is usually reversible." B. "Sexual dysfunction is a common complication after TURP, and there is no treatment for it." C. "TURP has no impact on sexual function, so you need not worry about it." D. "Sexual dysfunction is an expected and permanent outcome of TURP."

Answer and Explanation

Choice A:

This is the correct answer. TURP can cause temporary sexual dysfunction due to the proximity of the prostate to the nerves and blood vessels that control sexual function. However, in many cases, sexual function improves over time as the surgical site heals.

Choice B:

While sexual dysfunction can occur after TURP, it is not a common complication, and there are potential treatment options available.

Choice C:

TURP can have an impact on sexual function, and it is essential for the client to be aware of this possibility.

Choice D:

Sexual dysfunction after TURP is typically temporary and not a permanent outcome.

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Question 5:

A client who underwent a TURP asks the nurse when they can resume their regular activities. What should the nurse's response be?

A. "You can resume your regular activities immediately after discharge from the hospital." B. "Wait for at least a week before resuming any activities to ensure proper healing." C. "You should avoid all physical activities to prevent complications after surgery." D. "Gradually resume your usual activities as tolerated, but avoid heavy lifting and strenuous exercise for a few weeks."

Answer and Explanation

Choice A:

Resuming regular activities immediately after discharge may not be advisable, as the client needs time to recover and heal from the surgical procedure.

Choice B:

While the client may need to limit certain activities, waiting for a week before resuming any activities is not necessary in most cases.

Choice C:

Avoiding all physical activities is not necessary, and it may lead to deconditioning and delayed recovery.

Choice D:

This is the correct answer. The client should gradually resume their regular activities as they tolerate, but they should avoid heavy lifting and strenuous exercises for a few weeks to promote healing and prevent complications after TURP.Questions

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Question 6:

A nurse is preparing a client for Transurethral Resection of the Prostate (TURP) surgery. What should the nurse instruct the client to do before the procedure?

A. Increase fluid intake to promote bladder distension. B. Limit fluid intake to prevent excessive urination. C. Empty the bladder completely to reduce infection risk. D. Perform Kegel exercises to strengthen pelvic floor muscles.

Answer and Explanation

Choice A:

Increasing fluid intake may not be necessary before TURP surgery and could lead to over-distension of the bladder, making catheterization difficult.

Choice B:

Limiting fluid intake is not recommended as the client needs adequate hydration before surgery to support the body's normal functions.

Choice C:

This is the correct answer. Emptying the bladder completely before TURP surgery helps reduce the risk of infection and prevents complications during the procedure.

Choice D:

Kegel exercises are beneficial for pelvic floor muscle strengthening but are not specifically required before TURP surgery.

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Question 7:

A client scheduled for TURP expresses anxiety and fear about the surgery. What should the nurse do to alleviate the client's anxiety?

A. Share personal experiences of other clients who had successful TURP surgeries. B. Avoid discussing the surgical procedure to prevent further anxiety. C. Explain the surgical procedure thoroughly to the client. D. Listen actively to the client's concerns and provide emotional support.

Answer and Explanation

Choice A:

Sharing personal experiences of other clients may not be appropriate, as each individual's experience is unique, and it may not alleviate the client's anxiety.

Choice B:

Avoiding discussing the surgical procedure can increase the client's anxiety, as they may feel uninformed and uncertain about the surgery.

Choice C:

While explaining the surgical procedure is important, listening to the client's concerns and providing emotional support are equally crucial in alleviating anxiety.

Choice D:

This is the correct answer. Actively listening to the client's concerns allows the nurse to understand their fears and provide appropriate emotional support, which can help alleviate anxiety before TURP surgery.

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Question 8:

A client scheduled for TURP informs the nurse that they are taking anticoagulant medication. What is the nurse's priority action before the surgery?

A. Inform the healthcare provider about the client's medication. B. Withhold all medications, including anticoagulants, on the day of the surgery. C. Instruct the client to continue taking the anticoagulant as prescribed. D. Administer a blood-thinning agent to counteract the anticoagulant effects.

Answer and Explanation

Choice A:

This is the correct answer. Informing the healthcare provider about the client's anticoagulant medication is crucial before surgery, as it can affect the surgical plan and potential bleeding risks during TURP.

Choice B:

Withholding all medications, including anticoagulants, should only be done under the direction of the healthcare provider and anesthesia team. Abruptly stopping anticoagulants can lead to significant medical risks.

Choice C:

Continuing the anticoagulant as prescribed may pose a bleeding risk during surgery, so it is essential to involve the healthcare provider in the decision.

Choice D:

Administering a blood-thinning agent to counteract the anticoagulant effects is not appropriate and can lead to complications. The healthcare provider should decide on the management of anticoagulation therapy before surgery.

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Question 9:

A client scheduled for TURP surgery asks the nurse about the type of anesthesia used during the procedure. What is the nurse's best response?

A. "You will be under general anesthesia during the surgery." B. "TURP is usually done using spinal anesthesia." C. "The surgeon will decide which anesthesia to use on the day of the surgery." D. "You will be given local anesthesia for pain relief during the procedure."

Answer and Explanation

Choice A:

General anesthesia may not be necessary for TURP surgery, as it is typically performed using regional anesthesia like spinal or epidural anesthesia.

Choice B:

This is the correct answer. TURP surgery is usually done using spinal anesthesia, which numbs the lower part of the body, allowing the client to remain awake during the procedure while avoiding pain and discomfort.

Choice C:

The of anesthesia is usually determined before the day of the surgery based on the client's medical history and surgical plan.

Choice D:

Local anesthesia alone may not be sufficient for pain relief during TURP surgery, as it involves a more extensive procedure that requires regional anesthesia to achieve better pain control.

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Question 10:

A nurse is assessing a client's readiness for TURP surgery. What information should the nurse prioritize during the preoperative assessment?

A. The client's marital status and family support system. B. The client's dietary preferences and meal schedule. C. The client's allergies and medication history. D. The client's educational background and employment status.

Answer and Explanation

Choice A:

While the client's marital status and family support are important aspects of the client's life, they are not directly related to the client's readiness for TURP surgery.

Choice B:

The client's dietary preferences and meal schedule are important for overall health but are not the priority during the preoperative assessment for TURP.

Choice C:

This is the correct answer. The nurse should prioritize assessing the client's allergies and medication history to identify any potential risks or adverse reactions during the surgical procedure and anesthesia.

Choice D:

The client's educational background and employment status may not be directly relevant to TURP surgery and are not the priority during the preoperative assessment.

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Question 11:

A client is concerned about the potential complications after TURP surgery. Which complication is the most common postoperative concern for clients undergoing TURP?

A. Erectile dysfunction B. Incontinence C. Hematuria D. Retrograde ejaculation

Answer and Explanation

Choice A:

Erectile dysfunction may be a concern after TURP, but it is not the most common postoperative complication.

Choice B:

Incontinence can occur after TURP, but it is not the most common postoperative complication.

Choice C:

This is the correct answer. Hematuria, or blood in the urine, is the most common postoperative concern for clients undergoing TURP. It is expected for a short period after the surgery and should gradually improve.

Choice D:

Retrograde ejaculation may occur after TURP, but it is not the most common postoperative complication.

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Question 12:

A client asks the nurse about the expected postoperative catheter duration after TURP surgery. What is the nurse's best response?

A. "You will need to have the catheter in place for at least two weeks after the surgery." B. "The catheter will be removed immediately after the surgery is completed." C. "The catheter will remain in place until you can urinate normally without difficulty." D. "The catheter will be removed the day after the surgery."

Answer and Explanation

Choice A:

Keeping the catheter in place for at least two weeks after TURP is not typical. The duration of catheterization varies depending on the client's recovery and ability to urinate.

Choice B:

The catheter is often necessary after TURP to drain the bladder and prevent urinary retention. It is usually removed once the client can urinate normally without difficulty.

Choice C:

This is the correct answer. The catheter will remain in place until the client can urinate normally without difficulty, which typically occurs once the swelling and inflammation in the urinary tract subside.

Choice D:

Removing the catheter the day after surgery may not be appropriate, as the client may still have difficulty urinating due to the effects of the surgery. The removal of the catheter is based on the client's ability to urinate comfortably and effectively.Questions

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Question 13:

A nurse is preparing a client for TURP surgery. The client asks, "Why is it important for me to remove my dentures before the procedure?" What is the nurse's best response?

A. "The anesthesia can cause irritation and damage to your dentures." B. "Removing your dentures reduces the risk of aspiration during surgery." C. "It is hospital policy to remove all dentures before any surgical procedure." D. "Leaving your dentures in place may interfere with the surgical instruments."

Answer and Explanation

Choice A:

While anesthesia can cause irritation, it is not the primary reason for removing dentures before TURP surgery.

Choice B:

This is the correct answer. Removing dentures reduces the risk of aspiration (inhaling fluids or secretions) during surgery, which can lead to serious complications.

Choice C:

While some hospitals may have policies about removing dentures, the main concern here is the safety and prevention of aspiration.

Choice D:

Leaving dentures in place during surgery may not interfere with surgical instruments directly, but the main concern is the risk of aspiration.

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Question 14:

A client undergoing TURP surgery experiences bladder perforation during the procedure. What is the nurse's immediate action?

A. Inform the surgeon and anesthesia team about the complication. B. Notify the client's family about the unexpected turn of events. C. Document the incident in the client's medical record after the surgery. D. Administer pain medication to the client to alleviate any discomfort.

Answer and Explanation

Choice A:

This is the correct answer. Bladder perforation is a significant complication that requires immediate attention. The nurse should inform the surgical team to address the situation promptly.

Choice B:

Notifying the client's family about the complication is not the immediate action. The priority is to inform the surgical team and manage the situation.

Choice C:

While documentation is essential, it is not the immediate action required in this critical situation.

Choice D:

Administering pain medication may be necessary, but the priority is to address the bladder perforation and involve the surgical team to manage the complication.

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Question 15:

A nurse is monitoring a client's fluid intake and output during TURP surgery. What is the primary reason for this assessment?

A. To maintain strict fluid restrictions to prevent overhydration. B. To prevent dehydration during the surgical procedure. C. To ensure proper irrigation of the surgical site with fluid. D. To monitor for potential complications like fluid overload or imbalance.

Answer and Explanation

Choice A:

Maintaining strict fluid restrictions may not be necessary during TURP surgery and can lead to dehydration.

Choice B:

Preventing dehydration is essential, but the primary reason for fluid intake and output monitoring is to detect potential complications related to fluid overload or imbalance.

Choice C:

While proper irrigation of the surgical site is essential, fluid intake and output monitoring serve a broader purpose of assessing overall fluid balance and preventing complications.

Choice D:

This is the correct answer. Monitoring fluid intake and output during TURP surgery allows the nurse to assess for signs of fluid overload or imbalance, which can occur due to irrigation fluids and potential bleeding.

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Question 16:

A client undergoing TURP surgery develops a sudden onset of tachycardia, hypotension, and confusion. What is the nurse's priority action?

A. Administer pain medication to address any discomfort. B. Inform the surgeon and anesthesia team immediately. C. Reassure the client that these symptoms are expected. D. Initiate a rapid infusion of intravenous fluids.

Answer and Explanation

Choice A:

Administering pain medication may not be appropriate for these symptoms, as the client's condition requires immediate attention and assessment.

Choice B:

This is the correct answer. The sudden onset of tachycardia, hypotension, and confusion indicates a potential complication or adverse reaction that requires immediate intervention from the surgical and anesthesia teams.

Choice C:

Reassuring the client is important, but it is not the priority when the client is experiencing concerning symptoms.

Choice D:

Initiating a rapid infusion of intravenous fluids may not be appropriate without a proper assessment and evaluation of the client's condition. The priority is to inform the surgical and anesthesia teams to address the situation promptly.

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Question 17:

A nurse is positioning a client for TURP surgery. What is the best position for the client during the procedure?

A. Prone position with the abdomen elevated. B. Supine position with the legs elevated. C. Lithotomy position with the feet in stirrups. D. Lateral position with the affected side up.

Answer and Explanation

Choice A:

The prone position with the abdomen elevated is not the appropriate position for TURP surgery.

Choice B:

The supine position with the legs elevated is not the appropriate position for TURP surgery.

Choice C:

This is the correct answer. The lithotomy position with the feet in stirrups is the standard position for TURP surgery, as it provides access to the urinary tract for the procedure.

Choice D:

The lateral position with the affected side up is not the appropriate position for TURP surgery, as it does not provide the necessary access to the urinary tract.Questions

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Question 18:

A nurse is preparing a client for TURP surgery. The client asks, "Why is it important for me to remove my dentures before the procedure?" What is the nurse's best response?

Answer and Explanation

Choice A:

While anesthesia can cause irritation, it is not the primary reason for removing dentures before TURP surgery.

Choice B:

This is the correct answer. Removing dentures reduces the risk of aspiration (inhaling fluids or secretions) during surgery, which can lead to serious complications.

Choice C:

While some hospitals may have policies about removing dentures, the main concern here is the safety and prevention of aspiration.

Choice D:

Leaving dentures in place during surgery may not interfere with surgical instruments directly, but the main concern is the risk of aspiration.

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Question 19:

A client undergoing TURP surgery experiences bladder perforation during the procedure. What is the nurse's immediate action?

Answer and Explanation

Choice A:

This is the correct answer. Bladder perforation is a significant complication that requires immediate attention. The nurse should inform the surgical team to address the situation promptly.

Choice B:

Notifying the client's family about the complication is not the immediate action. The priority is to inform the surgical team and manage the situation.

Choice C:

While documentation is essential, it is not the immediate action required in this critical situation.

Choice D:

Administering pain medication may be necessary, but the priority is to address the bladder perforation and involve the surgical team to manage the complication.

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Question 20:

A nurse is monitoring a client's fluid intake and output during TURP surgery. What is the primary reason for this assessment?

Answer and Explanation

Choice A:

Maintaining strict fluid restrictions may not be necessary during TURP surgery and can lead to dehydration.

Choice B:

Preventing dehydration is essential, but the primary reason for fluid intake and output monitoring is to detect potential complications related to fluid overload or imbalance.

Choice C:

While proper irrigation of the surgical site is essential, fluid intake and output monitoring serve a broader purpose of assessing overall fluid balance and preventing complications.

Choice D:

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Question 21:

A client undergoing TURP surgery develops a sudden onset of tachycardia, hypotension, and confusion. What is the nurse's priority action?

Answer and Explanation

Choice A:

Administering pain medication may not be appropriate for these symptoms, as the client's condition requires immediate attention and assessment.

Choice B:

Choice C:

Reassuring the client is important, but it is not the priority when the client is experiencing concerning symptoms.

Choice D:

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Question 22:

A nurse is positioning a client for TURP surgery. What is the best position for the client during the procedure?

A. Prone position with the abdomen elevated. B. Supine position with the legs elevated. C. Lithotomy position with the feet in stirrups. D. Lateral position with the affected side up.

Answer and Explanation

Choice A:

The prone position with the abdomen elevated is not the appropriate position for TURP surgery.

Choice B:

The supine position with the legs elevated is not the appropriate position for TURP surgery.

Choice C:

This is the correct answer. The lithotomy position with the feet in stirrups is the standard position for TURP surgery, as it provides access to the urinary tract for the procedure.

Choice D:

The lateral position with the affected side up is not the appropriate position for TURP surgery, as it does not provide the necessary access to the urinary tract.Questions

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Question 23:

A client develops a fever, chills, and increased urinary frequency three days after TURP surgery. The nurse suspects a urinary tract infection (UTI). What is the nurse's priority intervention?

A. Administering prescribed antibiotics. B. Encouraging increased fluid intake. C. Monitoring vital signs and urine output. D. Applying warm compresses to the abdomen.

Answer and Explanation

Choice A:

This is the correct answer. The priority intervention for suspected UTI is to administer prescribed antibiotics to treat the infection and prevent its spread.

Choice B:

While increased fluid intake is essential, it is not the priority when the client is exhibiting signs of a UTI. Antibiotics should be given to address the infection promptly.

Choice C:

Monitoring vital signs and urine output is important, but the priority is to treat the infection with antibiotics.

Choice D:

Applying warm compresses to the abdomen may provide some comfort but does not address the underlying UTI.

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Question 24:

A client who underwent TURP surgery reports severe pain during urination and inability to void despite the removal of the catheter. What is the nurse's best action?

A. Encourage the client to drink more fluids to promote urine flow. B. Notify the healthcare provider about the client's symptoms. C. Document the client's complaints and reassess in a few hours. D. Instruct the client to perform Kegel exercises to strengthen the pelvic muscles.

Answer and Explanation

Choice A:

While encouraging fluid intake is important, severe pain during urination and inability to void after TURP surgery require further evaluation and intervention by the healthcare provider.

Choice B:

This is the correct answer. Severe pain and inability to void after TURP surgery may indicate a complication or urinary retention that requires immediate attention from the healthcare provider.

Choice C:

Documenting the client's complaints is essential, but the nurse should not delay notifying the healthcare provider about the client's symptoms.

Choice D:

Instructing the client to perform Kegel exercises is not the priority when the client is experiencing severe pain and inability to void after TURP surgery. The client's symptoms require prompt evaluation and intervention.

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Question 25:

A nurse is caring for a client after TURP surgery and notes continuous bright red bleeding from the urinary catheter. What is the nurse's immediate action?

A. Increase the rate of intravenous fluids to maintain hydration. B. Clamp the catheter for 30 minutes to observe for improvement. C. Administer a bolus of fresh frozen plasma to replace clotting factors. D. Notify the healthcare provider immediately.

Answer and Explanation

Choice A:

While maintaining hydration is important, the priority is to address the continuous bright red bleeding from the urinary catheter by notifying the healthcare provider immediately.

Choice B:

Clamping the catheter may obstruct urine flow and worsen the situation. The nurse should not intervene without healthcare provider guidance.

Choice C:

Administering fresh frozen plasma may be necessary in some situations, but it is not the immediate action for addressing continuous bleeding from the urinary catheter.

Choice D:

This is the correct answer. Continuous bright red bleeding from the urinary catheter after TURP surgery may indicate bleeding complications that require immediate intervention and evaluation by the healthcare provider.

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Question 26:

A client develops signs of fluid overload, such as dyspnea, crackles in the lungs, and peripheral edema, after TURP surgery. What is the nurse's priority intervention?

A. Administering diuretics to promote urine output and fluid elimination. B. Elevating the head of the bed and providing oxygen therapy as needed. C. Encouraging the client to limit fluid intake to prevent further overload. D. Restricting sodium intake in the client's diet.

Answer and Explanation

Choice A:

Administering diuretics may be necessary, but the priority is to improve respiratory distress and oxygenation by elevating the head of the bed and providing oxygen therapy.

Choice B:

This is the correct answer. The priority intervention for signs of fluid overload is to improve respiratory function and oxygenation by elevating the head of the bed and providing oxygen therapy as needed.

Choice C:

Encouraging the client to limit fluid intake is not the priority when the client is experiencing signs of fluid overload. The focus should be on improving respiratory function.

Choice D:

Restricting sodium intake may be appropriate in some cases, but the priority is to address the respiratory distress associated with fluid overload.

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Question 27:

A client experiences persistent urinary incontinence after TURP surgery. What is the nurse's most appropriate intervention?

A. Encourage the client to perform pelvic floor exercises. B. Apply a condom catheter to prevent leakage. C. Insert an indwelling urinary catheter for continuous drainage. D. Administer an anticholinergic medication to reduce bladder spasms.

Answer and Explanation

Choice A:

This is the correct answer. Encouraging the client to perform pelvic floor exercises, also known as Kegel exercises, can help strengthen the pelvic floor muscles and improve urinary control after TURP surgery.

Choice B:

Applying a condom catheter may not address the underlying issue of urinary incontinence after TURP surgery. It is more appropriate for managing male urinary incontinence in other contexts.

Choice C:

Inserting an indwelling urinary catheter for continuous drainage is not the first-line intervention for urinary incontinence after TURP surgery. It may increase the risk of complications such as infection and should be used judiciously.

Choice D:

Administering an anticholinergic medication may be appropriate in some cases, but it is notthe primary intervention for urinary incontinence after TURP surgery. Pelvic floor exercises are a non-pharmacological approach to address the issue.

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Question 28:

A nurse is providing postoperative care to a client after TURP surgery. What is the priority assessment for the client during the immediate postoperative period?

A. Assessing pain level and administering pain medication as needed. B. Monitoring vital signs and assessing for signs of hemorrhage. C. Evaluating the client's urinary output and catheter patency. D. Assessing the client's surgical incision for signs of infection.

Answer and Explanation

Choice A:

Assessing pain level and administering pain medication is important, but the priority during the immediate postoperative period is to monitor vital signs and assess for signs of hemorrhage or other complications.

Choice B:

This is the correct answer. Monitoring vital signs and assessing for signs of hemorrhage, such as continuous bright red bleeding, tachycardia, and hypotension, is essential to detect and address any complications promptly.

Choice C:

Evaluating the client's urinary output and catheter patency is important but may not be the immediate priority if there are concerns about hemorrhage or other complications.

Choice D:

Assessing the client's surgical incision for signs of infection is essential, but it may not be the immediate priority during the immediate postoperative period. The focus should be on assessing vital signs and for signs of bleeding or other complications.Questions

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Question 29:

A nurse is providing discharge instructions to a client after TURP surgery. The client asks, "When can I resume driving?" What is the nurse's best response?

A. "You can resume driving the day after surgery." B. "You should avoid driving for at least one week after surgery." C. "You can resume driving once the catheter is removed." D. "You should avoid driving for six to eight weeks after surgery."

Answer and Explanation

Choice A:

Resuming driving the day after TURP surgery may not be safe, as the client may still be recovering from the effects of anesthesia and the procedure.

Choice B:

This is the correct answer. The client should avoid driving for at least six to eight weeks after TURP surgery to ensure proper healing and prevent complications.

Choice C:

The removal of the catheter may not be the only factor affecting the client's ability to drive safely. The nurse should advise the client to wait for six to eight weeks before resuming driving.

Choice D:

Avoiding driving for just one week may not be sufficient for proper recovery after TURP surgery.

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Question 30:

A client is experiencing postoperative pain after TURP surgery. What is the nurse's most appropriate intervention to manage the pain?

A. Administering pain medication as prescribed. B. Encouraging the client to perform deep breathing exercises. C. Applying a heating pad to the surgical site. D. Providing distractions like watching television or reading.

Answer and Explanation

Choice A:

This is the correct answer. Administering pain medication as prescribed by the healthcare provider is the most appropriate intervention to manage postoperative pain after TURP surgery.

Choice B:

Deep breathing exercises are helpful for preventing respiratory complications, but they may not be sufficient for managing postoperative pain.

Choice C:

Applying a heating pad to the surgical site is not recommended as it may increase the risk of bleeding and other complications.

Choice D:

While distractions can provide some comfort, they may not be enough to effectively manage postoperative pain. Pain medication is the primary intervention.

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Question 31:

A nurse is instructing a client on how to care for the urinary catheter after TURP surgery. What should the nurse include in the instructions?

A. "Clean the catheter with alcohol wipes daily." B. "Flush the catheter with sterile water every 4 hours." C. "Keep the catheter bag below the level of the bladder." D. "Replace the catheter every week to prevent infection."

Answer and Explanation

Choice A:

Cleaning the catheter with alcohol wipes may irritate the urethra and increase the risk of infection. The catheter should not be cleaned with alcohol wipes.

Choice B:

Flushing the catheter with sterile water may introduce pathogens into the urinary tract and increase the risk of infection. The catheter should not be flushed with sterile water.

Choice C:

This is the correct answer. Keeping the catheter bag below the level of the bladder prevents urine from flowing back into the bladder, reducing the risk of infection.

Choice D:

The catheter should not be replaced weekly unless there is a specific indication for catheter change. Catheter replacement should be done according to the healthcare provider's instructions and protocols.

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Question 32:

A client is concerned about the possibility of erectile dysfunction after TURP surgery. What is the nurse's best response?

A. "Erectile dysfunction is a common complication after TURP surgery." B. "You may experience some temporary erectile dysfunction, but it usually resolves within a few months." C. "TURP surgery does not affect erectile function." D. "You should not worry about erectile dysfunction. It will not happen after TURP surgery."

Answer and Explanation

Choice A:

While erectile dysfunction can occur after TURP surgery, it is not accurate to describe it as a "common" complication. The actual incidence varies among individuals.

Choice B:

This is the correct answer. Erectile dysfunction is a possible complication after TURP surgery due to the proximity of nerves involved in erectile function. However, it is often temporary and resolves within a few months as the body heals.

Choice C:

TURP surgery can have an impact on erectile function due to its proximity to the nerves and structures involved in sexual function.

Choice D:

It is not appropriate for the nurse to dismiss the client's concerns. Erectile dysfunction is a valid concern for many clients undergoing TURP surgery.

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Question 33:

A nurse is providing dietary guidelines to a client after TURP surgery. Which dietary recommendation should the nurse include?

A. "Increase your fluid intake to promote urinary flow." B. "Limit your protein intake to reduce stress on the kidneys." C. "Avoid foods that are high in fiber and whole grains." D. "Consume caffeine and alcohol in moderation."

Answer and Explanation

Choice A:

Increasing fluid intake is important, but excessive fluid consumption may put additional stress on the bladder and cause discomfort. The client should maintain adequate fluid intake without overhydration.

Choice B:

Limiting protein intake is not typically necessary after TURP surgery unless there are specific medical reasons for such restrictions.

Choice C:

This is not an appropriate recommendation. Foods that are high in fiber and whole grains are beneficial for overall health, including gastrointestinal function.

Choice D:

This is the correct answer. Consuming caffeine and alcohol in moderation is recommended after TURP surgery. These substances can act as diuretics, increasing the need to urinate and potentially causing discomfort for the client.

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Question 34:

A client is experiencing urinary urgency and frequency after TURP surgery. What is the nurse's best intervention to address this issue?

A. Encourage the client to delay voiding whenever possible. B. Limit the client's fluid intake to reduce urinary output. C. Administer an anticholinergic medication as prescribed. D. Instruct the client to avoid performing Kegel exercises.

Answer and Explanation

Choice A:

Encouraging the client to delay voiding may lead to urinary retention and increase the risk of complications. This is not an appropriate intervention for urinary urgency and frequency after TURP surgery.

Choice B:

Limiting fluid intake may lead to dehydration and affect the overall health of the client. Adequate fluid intake is important for proper healing and preventing complications after TURP surgery.

Choice C:

This is the correct answer. Anticholinergic medications can help reduce urinary urgency and frequency by relaxing the bladder muscles and reducing bladder spasms.

Choice D:

Kegel exercises are helpful for strengthening the pelvic floor muscles but may not be the best intervention for addressing urinary urgency and frequency after TURP surgery. Anticholinergic medications are more appropriate in this case.

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Question 35:

A nurse is providing preoperative education to a client scheduled for a Transurethral Resection of the Prostate (TURP). The client asks, "What is the purpose of this procedure?" Which response by the nurse is most appropriate?

A. "TURP is done to remove the entire prostate gland to treat prostate cancer." B. "The procedure aims to remove a portion of the prostate gland to relieve urinary symptoms caused by an enlarged prostate." C. "TURP is a diagnostic procedure to assess the extent of prostate enlargement." D. "The goal of TURP is to insert a catheter into the urethra to drain urine effectively."

Answer and Explanation

Choice A:

This response is not accurate. TURP is primarily performed for benign prostatic hyperplasia (BPH) or prostate enlargement and not for prostate cancer removal.

Choice B:

This is the correct answer. TURP is a surgical procedure that involves removing a portion of the prostate gland to alleviate urinary symptoms caused by BPH, such as urinary frequency, urgency, and difficulty in urination.

Choice C:

This statement is not accurate. TURP is a therapeutic procedure, not a diagnostic one.

Choice D:

This response is incorrect. TURP is a surgical procedure and does not involve catheter insertion for drainage.

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Question 36:

A client scheduled for a TURP expresses concerns about potential complications after the surgery. Which complication should the nurse prioritize when providing preoperative education?

A. Infection B. Anemia C. Weight gain D. Muscle weakness

Answer and Explanation

Choice A:

This is the correct answer. Infection is a significant concern after TURP surgery due to the potential introduction of bacteria during the procedure or through catheterization. It can lead to urinary tract infections or systemic infections if not managed promptly.

Choice B:

Anemia may be a concern in some cases, but infection is a more immediate and potentially serious complication to address.

Choice C:

Weight gain and muscle weakness are not typical complications associated with TURP surgery.

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Question 37:

A nurse is providing discharge instructions to a client after TURP surgery. The client asks, "When can I resume normal activities like heavy lifting and strenuous exercises?" What is the nurse's best response?

A. "You can resume heavy lifting and strenuous exercises immediately after discharge." B. "You should avoid heavy lifting and strenuous exercises for at least one week after surgery." C. "You can resume heavy lifting and strenuous exercises two days after surgery." D. "You should avoid heavy lifting and strenuous exercises for six to eight weeks after surgery."

Answer and Explanation

Choice A:

Resuming heavy lifting and strenuous exercises immediately after TURP surgery can lead to complications such as bleeding or wound disruption.

Choice B:

This is the correct answer. The client should avoid heavy lifting and strenuous exercises for at least six to eight weeks after surgery to allow for proper healing and to prevent complications.

Choice C:

Resuming heavy lifting and strenuous exercises just two days after surgery is not recommended as the body needs time to heal.

Choice D:

Avoiding heavy lifting and strenuous exercises for one week may not be sufficient for proper healing after TURP surgery.

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