Author Question: A male patient, age 71, has benign prostatic hypertrophy. He is recovering from a trans-urethral ... (Read 93 times)

melly21297 · **on:** Jul 11, 2018

A male patient, age 71, has benign prostatic hypertrophy. He is recovering from a trans-urethral prostatic resection. The physician orders removal of the indwelling catheter 2 days after the TURP procedure.

What might the patient experience after the catheter is removed?
a.
Burning on urination
b.
Passing of blood clots in the urine
c.
Dribbling of urine
d.
Coffee-colored urine

Question 2

The patient with long-term emphysema is admitted with a secondary diagnosis of cor pulmonale. What should the nurse anticipate?

a. The patient will present with edema of the lower extremities and extended neck veins due to hypertension of the pulmonary circulation.
b. The patient will present with a dry hacking cough and chest pain due to constriction of the pulmonary vein.
c. The patient will present with hypertension and a headache related to pulmonary hypertension.
d. The patient will present with unlabored respiration and cyanosis around the mouth.

tjayeee · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

ANS: C
The patient is informed that initially he may experience frequency and voiding small amounts with some dribbling. There should be no hematuria or clots after 2 days.

Answer to Question 2

ANS: A
COPD can lead to cor pulmonale, an abnormal cardiac condition characterized by hypertrophy of the right ventricle of the heart as a result of hypertension of the pulmonary circulation. Cor pulmonale results in the presence of edema in the lower extremities, as well as in the sacral and perineal area, distended neck veins, and enlargement of the liver with ascites.