Question

An older female client tells the nurse in the clinic that she has a cystocele, which was diagnosed a year ago. She has urinary frequency and burning on urination. She asks, The doctor wanted me to have surgery for the cystocele last year, but I can manage using peripads. It won't hurt not to have surgery, will it? How should the nurse respond?

A. Not really, but it should be done.
B. Yes, you are risking kidney damage.
C. Yes, you are risking bowel obstruction.
D. Not really, but you will be more comfortable

Answer 1

Delaying surgery for a cystocele can increase the risk of recurrent UTIs and potentially lead to kidney damage, so it's important to discuss the risks and benefits of surgery with a healthcare provider.

Step-by-step explanation:

In the case of a cystocele with symptoms of urinary frequency and burning on urination, it's important for a client to consider the potential risks of not having surgery. While non-surgical management such as peripads can offer temporary relief, they do not address the underlying issue. Over time, a cystocele can lead to other complications, such as recurrent urinary tract infections (UTIs), which if left untreated could potentially lead to more severe outcomes, including kidney damage. Therefore, the most accurate response would be B: "Yes, you are risking kidney damage." It's important for the nurse to explain the potential health risks of delaying surgery and to encourage the client to have an informed discussion with the healthcare provider about the best course of action.