Question

A nurse is caring for a client who is 6 hr postoperative following a transurethral resection of the prostate (TURP). Which of the following actions should the nurse include in the plan of care?

1) Reposition the client frequently
2) Secure the drainage tube to the client's thigh
3) Monitor for the client's temperature every 4 hr
4) Administer antispasmodics for bladder spasms
5) Restrict fluid intake to 1,500 mL/day

Answer 1

The nurse should include repositioning the client frequently, securing the drainage tube to the client's thigh, and monitoring the client's temperature every 4 hours in the plan of care for a client 6 hours post-TURP.

Step-by-step explanation:

The nurse should include the following actions in the plan of care for a client who is 6 hr postoperative following a transurethral resection of the prostate (TURP):

1. Reposition the client frequently: Repositioning helps prevent complications such as pressure ulcers and aids in maintaining proper circulation.
2. Secure the drainage tube to the client's thigh: Securing the drainage tube helps prevent accidental dislodgment and ensures proper drainage.
3. Monitor for the client's temperature every 4 hr: Monitoring the client's temperature helps identify signs of infection or postoperative complications.