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Author Question: The client who underwent prostate surgery for cancer is approaching the time of discharge from the ... (Read 81 times)

Charlie

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The client who underwent prostate surgery for cancer is approaching the time of discharge from the hospital. Which of the following instructions should the nurse reinforce for this client as a part of discharge teaching?
 
  1. Reduce your fluid intake so you won't need to void as often..
   2. Call the doctor immediately if you notice blood in your urine..
   3. You may drive yourself home..
   4. Avoid strenuous activity and heavy lifting for 4 to 8 weeks..

Question 2

A client has a long leg cast as a result of a fractured femur. Which of the following findings would indicate adequate circulation is occurring in the limb?
 
  1. No evidence of edema of the toes or change in sensation
   2. Drainage on the cast
   3. Increased temperature
   4. Cast emitting foul odor



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chjcharjto14

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Answer to Question 1

4. Avoid strenuous activity and heavy lifting for 4 to 8 weeks..

Rationale:
The healing period after prostate surgery is 4 to 8 weeks, and the client should avoid strenuous activity during this time. Blood in the urine is fairly common after surgery. Continued increase in fluid intake will help the urine to remain dilute and reduce the risk of clot formation. The client should not drive after surgery for at least 2 weeks.

Answer to Question 2

1. No evidence of edema of the toes or change in sensation

Rationale:
Constriction of circulation decreases venous return and increases pressure within vessels. Fluid then shifts into the interstitial space, causing edema. If the toes are not edematous and the client can feel the nurse touch the toes, the client has intact circulation to the limb. Foul odor, drainage, and increased temperature would indicate potential infection.





 

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