A client has recovered from prostate surgery and is ready for ...

[viki]

A client has recovered from prostate surgery and is ready for discharge. Which of the following points would the nurse want to teach the client and family prior to discharge?
 
  1. The client should not drive for 4 weeks after surgery.
   2. The client should avoid heavy lifting for 3 weeks after surgery.
   3. The client should avoid straining with bowel movements.
   4. The client should call the doctor immediately for any pain.

Question 2

The nurse is creating the plan of care for an elderly client admitted for prostatic surgery. The client is on medication for hypertension and had a recent fall at home prior to admission.
 
  The nurse would include which of the following in the care plan? 1. Monitor blood pressure every 2 hours
   2. Assess postural blood pressures
   3. Monitor serum sodium levels
   4. Monitor serum creatinine levels

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Answer to Question 1

3. The client should avoid straining with bowel movements.

Rationale:
Straining for bowel movements after surgery can cause increased pressure in the prostate area. The client and family are taught good dietary habits to keep bowel movements regular and soft. The client may not drive for 2 weeks after surgery. The client is taught to avoid heavy lifting for 4-8 weeks after discharge and to call the doctor for severe abdominal or chest pain.

Answer to Question 2

2. Assess postural blood pressures

Rationale:
Baroreceptors are less efficient with aging. Therefore, orthostatic hypotension is more likely to occur. Also, clients treated for hypertension could have an increase in sensitivity to the medications. Postural blood pressure assessment allows the nurse to prevent orthostatic hypotension and falls. Every 2 hours is too frequent for assessments of a noncritical client. Sodium intake and creatinine levels assess renal function.