A 70-year-old patient who has had a transurethral resection of ...

[theo]

A 70-year-old patient who has had a transurethral resection of the prostate (TURP) for benign prostatic hyperplasia (BPH) is being discharged from the hospital today,
 
  The nurse determines that additional instruction is needed when the patient says which of the following?
  a. I should call the doctor if I have incontinence at home.
  b. I will avoid driving until I get approval from my doctor.
  c. I will increase fiber and fluids in my diet to prevent constipation.
  d. I should continue to schedule yearly appointments for prostate exams.

Question 2

A 57-year-old patient is incontinent of urine following a radical retropubic prostatectomy. The nurse will plan to teach the patient
 
  a. to restrict oral fluid intake.
  b. pelvic floor muscle exercises.
  c. to perform intermittent self-catheterization.
  d. the use of belladonna and opium suppositories.

[softEldritch]

Answer to Question 1

ANS: A
Because incontinence is common for several weeks after a TURP, the patient does not need to call the health care provider if this occurs. The other patient statements indicate that the patient has a good understanding of post-TURP instructions.

Answer to Question 2

ANS: B
Pelvic floor muscle training (Kegel) exercises are recommended to strengthen the pelvic floor muscles and improve urinary control. Belladonna and opium suppositories are used to reduce bladder spasms after surgery. Intermittent self-catheterization may be taught before surgery if the patient has urinary retention, but it will not be useful in reducing incontinence after surgery. The patient should have a daily oral intake of 2 to 3 L.

[theo]

Excellent

[tranoy]

TYSM