The nurse is instructing a patient with benign prostatic ...

[vinney12]

The nurse is instructing a patient with benign prostatic hypertrophy about techniques to reduce urinary retention. What should these instructions include?
 
  1. Avoid alcoholic beverages.
  2. Encourage ingesting large amounts of fluids at one time.
  3. Urinate until all of the urine is drained from the bladder.
  4. Over-the-counter cold remedies are permitted with other medications.

Question 2

A patient is planning to have surgery for the treatment of benign prostatic hypertrophy. Which procedure should the nurse explain has the fewest postoperative complications?
 
  1. transurethral needle ablation (TUNA)
  2. transurethral incision of the prostate (TURP)
  3. perineal prostatectomy
  4. suprapubic prostatectomy

[asware1]

Answer to Question 1

Correct Answer: 1
Patient teaching for urinary retention should include: manifestations of acute urinary retention; the risk of developing urinary retention increases with over-the-counter decongestant medications; avoiding the intake of large volumes of liquid at any one time; how to use double-voiding technique; and limiting liquids that stimulate voiding, such as coffee and alcoholic beverages.

Answer to Question 2

Correct Answer: 1
The transurethral needle ablation (TUNA) system uses low-level radiofrequency through twin needles to burn away a region of the enlarged prostate. Shields protect the urethra. TUNA improves the flow of urine through the urethra and does not cause impotence or incontinence. Transurethral incision of the prostate (TURP) involves the insertion of a surgical instrument and optical device into the urethra to the prostate. Erectile dysfunction is not a common occurrence with this procedure; however, there may be retrograde ejaculation. Perineal prostatectomy removes the gland by way of a perineal incision. This procedure has a high incidence of complications including impotence and rectal injury. The suprapubic prostatectomy utilizes an abdominal incision. It involves greater blood loss and an increased risk of infection.