Author Question: On the first postoperative day, a patient with a TURP complains of abdominal pain. The nurse finds ... (Read 64 times)

mwit1967 · **on:** Jun 25, 2018

On the first postoperative day, a patient with a TURP complains of abdominal pain. The nurse finds that the bladder is greatly distended. What should the nurse do next?

a. Inform the charge nurse.
b. Irrigate the indwelling catheter with 20 to 30 mL of normal saline.
c. Increase the continuous bladder irrigation flow rate.
d. Turn the patient to the right side.

Question 2

The nurse is educating a patient about cardiomyopathy. The nurse includes information that which circumstance(s) may increase risk for cardiomyopathy? (Select all that apply.)

a. Systemic hypertension
b. Chronic excessive alcohol consumption
c. Pregnancy
d. Diabetes
e. Systemic infection

Chocorrol77 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

B
The patient most likely has a clot that is occluding the catheter and causing pressure on the blad-der. Additional irrigation will dislodge the clot that is occluding the catheter. Increasing conti-nuous bladder irrigation flow rate would add fluid to the bladder and increase pain. It is within the primary care nurse's role to perform the intervention without notifying the charge nurse. Turning the patient to the right side does not offer benefit.

Answer to Question 2

A, B, C, E
Cardiomyopathy is a group of disorders that result in enlargement of the heart and subsequent inefficient pumping action. Risk factors include systemic hypertension, chronic alcohol con-sumption, pregnancy, and certain systemic infections. Diabetes is not considered a risk factor for cardiomyopathy.