A client is recovering from prostate surgery on a ...

[fnuegbu]

A client is recovering from prostate surgery on a medical-surgical unit. The client will be ready for discharge within the next few days. Which teaching point is appropriate for this client?
 
  A) The client should not drive for 6 weeks after surgery.
  B) The client should call the healthcare provider immediately for any pain.
  C) The client should increase the fiber in his diet.
  D) The client should avoid heavy lifting for 2 weeks after surgery.

Question 2

The multidisciplinary care team is meeting to discuss care for a client who exhibits symptoms of the prodromal phase of hepatitis. Lab results include a positive anti-HAV IgM. The nurse creates an action plan to present to the team. Which interventions ar
 
  Select all that apply.
  A) High-fat, low-calorie, and no-alcohol diet teaching
  B) Patient education on acceptable pain medication
  C) Early treatment with lamivudine
  D) Referral to the liver transplant team
  E) Family teaching for transmission prevention.

[sarahccccc]

Answer to Question 1

Answer: C

The client should be encouraged to increase the fiber in his diet, as 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

Answer: B, E

Patient education on acceptable pain medication is necessary due to the toxic effect of common over-the-counter pain medicine. Family teaching is appropriate to avoid transmission. Most clients recover from acute viral hepatitis without pharmacologic treatment and certainly without liver transplant. A low-fat, high-calorie diet is recommended.

[fnuegbu]

TYSM

[tuate]

Excellent