Turp Quiz Flashcards
(37 cards)
What is the first action the nurse should take for a patient with dark red fluid and clots after TURP?
Report the assessments to his urologist.
What determines the irrigation rate for a postoperative client after TURP?
Color of the client’s urine.
What is the most widely used procedure for treatment of BPH?
Transurethral resection of the prostate (TURP)
How much urine should the nurse record as output if 1,800 ml of irrigating solution was used and 2,400 ml was in the drainage bag?
600
What should the nurse do first for a client who complains of pain after TURP?
Check the client’s medical record for postoperative orders.
What finding suggests that a client’s catheter is occluded after TURP?
The client reports bladder spasms and the urge to void.
What are the functions of the three lumens in a 3-way indwelling urinary catheter after TURP?
- Continuous inflow of irrigation solution
- Continuous outflow of irrigation solution
What nursing intervention is appropriate for a client 24 hours after TURP with continuous bladder irrigation?
Use aseptic technique when irrigating the catheter.
What should the nurse teach a patient about the risk of erectile dysfunction (ED) after TURP?
ED is not a common complication following a TURP.
What is the purpose of bladder irrigation after TURP?
Prevents obstruction of the catheter after surgery.
Complete the sentence: The nurse determines that additional instruction is needed when the patient says, _______________
“I should call the doctor if I have any incontinence at home.”
What should the nurse do first for a patient with painful bladder spasms and decreased urine output after TURP?
Manually instill and then withdraw 50 mL of saline into the catheter.
What observation after TURP requires intervention?
The patient is in bed with his legs drawn up to his abdomen.
By what postoperative day should hematuria subside after TURP?
4th day
What are the three priority nursing actions after urinary catheter removal in a TURP client?
- Continued strict I&O
- Continued observations for hematuria
- Inform client burning and frequency may last for a week
Which finding suggests occlusion of the catheter after TURP?
The client reports bladder spasms and the urge to void.
What is the most common procedure for prostate gland removal?
Transurethral resection of the prostate (TURP)
What should the nurse do first for a client reporting bladder pain after TURP?
Assess the irrigation catheter for patency and drainage.
Which nursing intervention is appropriate for a client on continuous bladder irrigation after TURP?
Use aseptic technique when irrigating the catheter.
What is inappropriate to include in preoperative teaching for a patient undergoing TURP?
He will be pain free.
What is the American Urological Association (AUA) Symptom Index used for in patients with benign prostatic hyperplasia (BPH)?
It assesses the severity of symptoms related to urination, such as force and frequency of urination, and nocturia.
True or False: Blood in the urine is a typical symptom of benign prostatic hyperplasia (BPH).
False
What concern might a patient have about undergoing a transurethral resection of the prostate (TURP)?
Fear that it will affect sexual function.
What is a potential consequence of TURP that the nurse should inform the patient about?
Retrograde ejaculation may occur.
