Author Question: A client who has had minimally invasive surgery due to a diagnosis of benign prostatic hypertrophy ... (Read 58 times)

BrownTown3 · **on:** Jul 22, 2018

A client who has had minimally invasive surgery due to a diagnosis of benign prostatic hypertrophy (BPH) has returned to the unit postoperatively. The nurse expects which of the following outcomes for this client?

1. Absence of pain
2. No postoperative treatment
3. Urinary continence
4. Bowel continence

Question 2

A nurse working in a long-term care facility notes that during the evening meal, the unlicensed assistive person (UAP) takes a tray to a client with Parkinson's who is unable to cut up and eat the food.

The nurse helps the client with dinner and plans which of the following to advocate for the client? 1. Notify the physician
2. Call the client's family
3. Discuss the situation with the director of nursing
4. Talk to the UAP

okolip · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

3. Urinary continence

Rationale:
After surgery and removal of the catheter, the client should return to urinary continence as expected. The client will need postoperative teaching and will experience some amount of discomfort. Most clients, due to pain and swelling in the area, will have problems with constipation at first.

Answer to Question 2

3. Discuss the situation with the director of nursing

Rationale:
The nurse would advocate getting the client's plan changed because the goal is to have someone available to help the client eat for every meal. Notifying the doctor will not help the client. The family might be able to help at times but cannot be expected to come for every meal. The nurse assesses that this happens at every meal and seeks to change how this client is cared for, not just changing one health care worker.