Nokea
A male patient, age 71, is recovering from a trans-urethral prostatic resection (TURP). The health care provider requests removal of the indwelling catheter 2 days after the TURP procedure. Which occurrence might the patient experience after the catheter is removed?
- A. Burning on urination
- B. Passing of blood clots in the urine
- C. Dribbling of urine
- D. Coffee-colored urine
Correct Answer: C
Rationale: The patient is informed that initially he may experience frequency and voiding small amounts with some dribbling. There should be no hematuria or clots after 2 days.
You may also like to solve these questions
In which way will the nurse instruct the patient to do before obtaining the urine specimen for a urine culture?
- A. Collect the urine for a 24-hour period.
- B. Obtain a clean-catch specimen.
- C. Bring in an early morning specimen.
- D. Limit fluid intake to concentrate the urine.
Correct Answer: B
Rationale: Urine cultures are dependent on a clean-catch or catheterized specimen.
Which portion of the nephron is involved with filtration?
- A. Glomerulus of the Bowman capsule
- B. Henle loop
- C. Proximal convoluted tubule
- D. Distal convoluted tubule
Correct Answer: A
Rationale: Filtration of water and blood products occurs in the glomerulus of the Bowman capsule.
A patient who is receiving continuous bladder irrigation following a transurethral resection of the prostate (TURP) complains of 'spasm-like' pain over his lower abdomen. Which step will be the initial intervention by the nurse?
- A. Inform the nurse in charge.
- B. Decrease the continuous bladder irrigation flow.
- C. Administer the prescribed analgesic.
- D. Check the catheter and drainage system for obstruction.
Correct Answer: D
Rationale: The patient who has a TURP may have continuous closed bladder irrigation or intermittent irrigation to prevent occlusion of the catheter with blood clots, which would cause bladder spasms.
Exercises to increase muscle tone of the pelvic floor are known as ___ exercises.
- A. Kegel
Correct Answer: Kegel
Rationale: Women with weakened structures of the pelvic floor are prone to stress incontinence. For the female patient, Kegel exercises are helpful; 10 repetitions, 5 to 10 times a day, are suggested to improve muscle tone.
Why are pediatric patients, especially girls, susceptible to urinary tract infections?
- A. Genetically females have a weaker immune system.
- B. Females have a short and proximal urethra in relation to the vagina.
- C. Girls are more sexually active than males.
- D. Girls have a weakened musculature and sphincter tone.
Correct Answer: B
Rationale: Pediatric patients, especially girls, are susceptible to urinary tract infections because of the short urethra.