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A nurse is caring for a client who has had an open radical prostatectomy. Stimulus 1
Answer Choices:
Rationale:
1. Edema and bruising to the scrotum and penis are common after a radical prostatectomy. Applying ice helps reduce swelling and provides comfort.
2. Bladder spasms are common after prostate surgery, especially with a catheter and bladder irrigation in place. Antispasmodics like oxybutynin can relieve discomfort and spasms.
3. Sitting can increase pressure on the surgical site and cause tension on the catheter. A semi-Fowler’s or supine with slight elevation position is safer post-op.
4. Discharge planning includes teaching about catheter care. Leg bags are commonly used once the patient is mobile and discharged. Early teaching is important for continuity of care.
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This question is from ATI Advanced Med Surg Exam IV which contains 40 questions.
A. A conscious adult client who reports shortness of breath; has a respiratory rate of 24/min, and capillary refill of
B. A conscious adult client who has a dislocated right shoulder, respiratory rate of 18/min, and capillary refill of
C. An unconscious adult client who has a sucking chest wound, respirations of 38/min, and capillary refill of
D. An unconscious adult client who has no respirations, capillary refill is 2 seconds and paramedics have already tried to reposition airway without results.