chronic care final exam 6

a nurse is caring for a client who has prostate cancer. the nurse should expect the provider to prescribe which of the following medications for this client? a.leuprolide b.cyclophosphamide c.finasteride d.tamoxifen

a.

which information at will the nurse provide to a patient with metastatic breast cancer who has a new prescription for trastuzumab (Herceptin)? a.hot flashes may occur with the medication. b.serum electrolyte levels will be drawn monthly. c.the patient will need frequent eye examinations. d.the patient should call if she notices ankle swelling.

d. trastuzumab can lead to heart damage, so the patient is taught to self-monitor for symptoms of heart failure. there is no need to monitor serum electrolyte levels. hot flashes or changes in visual acuity may occur with tamoxifen, but not with trastuzumab.

the nurse is teaching a patient with a small immobile breast lump about options for a breast biopsy. which type of biopsy would be scheduled in an operating room? a.excisional biopsy b.core needle aspiration c.vacuum-assisted biopsy d.fine-needle aspiration (FNA)

a. an excisional biopsy is done in an operating room. core needle aspiration, vacuum-assisted biopsy, and fine-needle aspiration (FNA) are examples of minimally invasive breast biopsies.

a 70-yr-old patient who has had a transurethral resection of the prostate (TURP) for benign prostatic hyperplasia (BPH) is being discharged from the hospital today. which patient statement indicates a need for the nurse to provide additional instruction? a."i should call the doctor if I have incontinence at home." b."i will avoid driving until I get approval from my doctor." c."i should schedule yearly appointments for prostate examinations." d."i will increase fiber and fluids in my diet to prevent constipation."

a. because incontinence is common for several weeks after a TURP, the patient does not need to call the health care provider if this occurs. the other patient statements indicate that the patient has a good understanding of post-TURP instructions.

which action would the nurse take for a 48-yr-old patient whose repeat cervical Pap test was abnormal? a.teach the patient about colposcopy. b.teach the patient about endometrial biopsy. c.prepare the patient for a dilatation and curettage (D&C). d.administer 3 doses of human papillomavirus (HPV) vaccine.

a. patients with an abnormal Pap test will typically be referred for colposcopy. endometrial biopsy is not the next step in evaluation of abnormal Pap results. a D&C procedure is not useful for diagnosing or treating abnormal cervical cells. the HPV vaccine may reduce the risk for cervical cancer, but it is approved by the FDA only up to age 45.

a patient is on the surgical unit after a total abdominal hysterectomy. which finding requires contacting the health care provider? a.urine output of 125 mL in the first 8 hours after surgery b.decreased bowel sounds in all four abdominal quadrants c.report of abdominal pain at the incision site with coughing d.one-inch area of bloody drainage on the abdominal dressing

a. the decreased urine output indicates possible low blood volume and further assessment is needed to assess for possible internal bleeding. decreased bowel sounds, minor drainage on the dressing, and abdominal pain with coughing are expected after this surgery.

a nurse is caring for a client who is postoperative following a transurethral resection of the prostate. which of the following complications is the priority for the nurse to monitor for? a.hemorrhage b.infection c.urinary retention d.pain

a. using the airway breathing circulation (ABC) approach to client care the nurse determines that the priority complication to monitor for is the client hemorrhaging; therefore, the nurse should monitor the client's urinary output for blood clots and bright red blood tinged urine following surgery.

a nurse is caring for a client who is to start chemotherapy for advanced breast cancer. she tells the nurse she is worried about the adverse effects of the treatment. which of the following responses should the nurse make? a."i will have your provider discuss the adverse effects with you before the treatment begins." b.someone from the American Cancer Society will be here soon to answer your questions." c."what is it about the adverse effects that concern you?"

c.

a nurse is caring for a client who has benign prostatic hyperplasia (BPH). which of the following medications should the nurse plan to administer? a.danazol b.finasteride c.fluxymesterone d.methyltestosterone

b.

a patient who has benign prostatic hyperplasia (BPH) with urinary retention is admitted to the hospital with elevated blood urea nitrogen (BUN) and creatinine. which prescribed therapy would the nurse implement first? a.infuse normal saline at 50 mL/hr. b.insert a urinary retention catheter. c.draw blood for a complete blood count. d.schedule pelvic magnetic resonance imaging.

b. the patient data indicate that the patient may have acute kidney injury caused by the BPH. the initial therapy will be to insert a catheter. the other actions are also appropriate, but they can be implemented after the acute urinary retention is resolved.

a patient tells the nurse that he decided to seek treatment for erectile dysfunction (ED) because his partner "is losing patience with the situation." which patient concern would be the focus of the nurse's follow-up questions? a.low self-esteem b.role performance c.increased anxiety d.infrequent intercourse

b. the patient's statement indicates that the relationship with his partner is his primary concern. although anxiety, low self-esteem, and ineffective sexuality patterns may also be concerns, the patient information suggests that addressing the role performance problem will lead to the best outcome for this patient.

a nurse is caring for a client who is 5 hr postoperative following a transurethral resection of the prostate (TURP). the nurse notes that the client's indwelling urinary catheter has not drained in the past hour. which of the following actions should the nurse take first? a.notify the provider b.check the tubing for kinks c.adjust the rate of the bladder irrigant.

b. when providing client care, the nurse should first use the least restrictive intervention; therefore, the nurse should check the catheter tubing for kinks. The nurse must ensure constant flow of the bladder irrigant into the catheter and outward drainage from the catheter to prevent clotting, which could occlude the catheter lumen.

a patient who was recently diagnosed with benign prostatic hyperplasia (BPH) tells the nurse that he does not want to have a transurethral resection of the prostate (TURP) because it might affect his ability to have sexual intercourse. which action would the nurse take? a.discuss alternative methods of sexual expression. b.teach about medication for erectile dysfunction (ED). c.explain that TURP may cause retrograde ejaculation. d.offer reassurance that fertility is not affected by TURP.

c. ED is not a concern with TURP, although retrograde ejaculation is likely, and the nurse should discuss this with the patient. Erectile function is not usually affected by a TURP, so the patient will not need information about penile implants or reassurance that other forms of sexual expression may be used. because the patient has not asked about fertility, reassurance about fertility does not address his concerns.

a patient with urinary obstruction from benign prostatic hyperplasia (BPH) tells the nurse, "my symptoms are much worse this week." which response would the nurse make? a."have you taken any over-the-counter (OTC) medications recently?" b."i will talk to the HCP about a prostate-specific antigen (PSA) test." c."have you talked to the HCP about a transurethral resection of the prostate (TURP)?" d."the prostate gland changes in size from day to day, and this may be making your symptoms worse now."

a. because the patient's increase in symptoms has occurred abruptly, the nurse should ask about OTC medications such as decongestants or anticholinergics that might cause contraction of the smooth muscle in the prostate and worsen obstruction. the prostate gland does not vary in size from day to day. a TURP may be needed, but more assessment about reasons for the sudden symptom change is a more appropriate first response by the nurse. PSA testing is done to differentiate BPH from prostatic cancer.

which side effect of leuprolide (Lupron) would the nurse plan to discuss with a patient who has cancer of the prostate? a.flushing b.dizziness c.infection d.incontinence

a. hot flashes may occur with decreased testosterone production. dizziness may occur with the -blockers used for benign prostatic hyperplasia. urinary incontinence may occur after prostate surgery, but it is not an expected side effect of medication. risk for infection is increased in patients receiving chemotherapy.

which topic will the nurse include in the preoperative teaching for a patient admitted for an abdominal hysterectomy? a.purpose of ambulation and leg exercises b.adverse effects of systemic chemotherapy c.decrease in vaginal sensation after surgery d.symptoms caused by the drop in estrogen level

a. venous thromboembolism is a potential complication after major surgery, and the nurse will instruct the patient about ways to prevent it. vaginal sensation is decreased after a vaginal hysterectomy but not after abdominal hysterectomy. most hysterectomies are not done for treatment of cancer. Unless the patient has cancer, chemotherapy and radiation will not be prescribed. because the patient will still have her ovaries, her estrogen level will not decrease.

after a 48-yr-old patient has had a modified radical mastectomy, the pathology report identifies the tumor as an estrogen-receptor positive adenocarcinoma. which medication would the nurse plan to explain to the patient? a.estradiol b.tamoxifen c.raloxifene d.trastuzumab

b tamoxifen is used for estrogen-dependent breast tumors in premenopausal women. raloxifene is used to prevent breast cancer, but it is not used postmastectomy to treat breast cancer. estradiol will increase the growth of estrogen-dependent tumors. trastuzumab is used to treat tumors that have the HER-2 receptor.

a healthy 24-yr-old patient who has been vaccinated against human papillomavirus (HPV) has a normal Pap test result. which information will the nurse include in patient teaching when calling the patient with the results of the Pap test? a.you can wait until after age 30 before having another Pap test. b.Pap testing is recommended every 3 years for women your age. c.no further Pap testing is needed until you decide to become pregnant. d.yearly Pap testing is suggested for women with multiple sexual partners.

b. U.S. Preventive Services Task Force recommends that women ages 21 to 29 years should get a Pap test every 3 years.

a nurse is caring for a client who asks to be screened for cervical cancer because a relative has been diagnosed with it. which of the following tests should the nurse expect the provider to use? a. serum prolactin level b.papanicolaou test c.a vaginal ultrasound d.an endometrial biopsy

b. a Papanicolaou test involves sampling cells from the cervix to detect abnormal cells and growth. the nurse should recommend the client have an annual Pap test between ages 21 to 29, and every 5 years from ages 30 to 65.

the health care provider prescribes finasteride (Proscar) for a patient who has benign prostatic hyperplasia (BPH). which information would the nurse provide about the drug? a.he should change position from lying to standing slowly to avoid dizziness. b.his interest in sexual activity may decrease while he is taking the medication. c.improvement in the obstructive symptoms should occur within about 2 weeks. d.he will need to monitor his blood pressure frequently to assess for hypertension.

b. a decrease in libido is a side effect of finasteride because of the androgen suppression that occurs with the drug. although orthostatic hypotension may occur if the patient is also taking a medication for erectile dysfunction, it should not occur with finasteride alone. improvement in symptoms of obstruction takes about 6 months. the medication does not cause hypertension.

a 31-yr-old patient who has been diagnosed with human papillomavirus (HPV) infection gives a health history that includes smoking tobacco, taking oral contraceptives, and having been treated twice for vaginal candidiasis. which topic will the nurse include in patient teaching? a.use of water-soluble lubricants b.risk factors for cervical cancer c.antifungal cream administration d.possible difficulties with conception

b. because HPV infection is associated with increased cervical cancer risk, the nurse would emphasize the importance of regular screening for cervical cancer. an HPV infection does not decrease vaginal lubrication, decrease the ability to conceive, or require the use of antifungal creams.

which topic would the nurse plan to discuss with a patient who has been diagnosed with stage 0 cervical cancer? a.radiation b.cone biopsy c.chemotherapy d.radical hysterectomy

b. because the carcinoma is in situ, cone biopsy (conization) can be used for treatment. radical hysterectomy, chemotherapy, or radiation will not be needed.

a 58-yr-old patient is on the medical-surgical unit after undergoing a radical vulvectomy for vulvar carcinoma. which potential problem is the greatest risk to the patient at this time? a.self-care deficit b.wound infection c.inadequate nutrition d.ineffective sexual pattern

b. complex and meticulous wound care is needed to prevent infection and delayed wound healing. the patient may be at risk for other problems, but they are not the greatest concerns in the immediate postoperative time period.

which question is most pertinent for the nurse to ask a 43-yr-old patient about her risk for breast cancer? a."have you ever had a breast or chest injury?" b."at what age did you start having menstrual periods?" c."is there a family history of fibrocystic breast changes?" d."do you often have back pain due to heavy breast tissue?"

b. early menarche and late menopause are risk factors for breast cancer because of the prolonged exposure to estrogen that occurs. breast trauma and fibrocystic breast changes are not associated with increased breast cancer risk. breast size or back pain caused by heavy breast tissue are not associated with increased breast cancer risk.

which information will the nurse plan to teach the patient scheduled for photovaporization of the prostate (PVP)? a.urine will appear bloody for several days. b.discomfort with voiding may last several weeks. c.complications are associated with urethral stenting. d.there will be a permanent need for a urinary catheter.

b. irritative voiding symptoms may persist for several weeks. the patient will have an indwelling catheter for 24 to 48 hours. there is minimal bleeding with this procedure. stent placement is not part of the procedure.

which instruction would the nurse give the patient who is incontinent of urine following a radical retropubic prostatectomy? a.restrict oral fluid intake. b.do pelvic muscle exercises. c.perform intermittent self-catheterization. d.use belladonna and opium suppositories.

b. pelvic floor muscle training (Kegel) exercises are recommended to strengthen the pelvic floor muscles and improve urinary control. belladonna and opium suppositories are used to reduce bladder spasms after surgery. intermittent self-catheterization may be taught before surgery if the patient has urinary retention, but it will not be useful in reducing incontinence after surgery. the patient should have a daily oral intake of 2 to 3 L.

the nurse in a health clinic receives requests for appointments from several patients. which patient would be seen by the health care provider first? a.a 48-yr-old patient who has perineal pain and a temperature of 100.4F b.a 58-yr-old patient who has a painful erection that has lasted more than 6 hours c.a 38-yr-old patient who reports that he had difficulty maintaining an erectiontwice last weekd. d.a 68-yr-old patient who has pink urine after a transurethral resection of the prostate (TURP) 3 days ago

b. priapism can cause complications such as necrosis or hydronephrosis, and this patient would be treated immediately. the other patients do not require immediate action to prevent serious complications.

which patient statement indicates that the nurse's teaching about tamoxifen has been effective? a."i can expect to have leg cramps." b."i will call if I have any vision problems." c."i should contact you if I have hot flashes." d."i will take the medication for 6 to 12 months."

b. retinopathy, cataracts, and decreased visual acuity should be immediately reported because it is likely that the tamoxifen will be discontinued or decreased. tamoxifen treatment generally lasts 5 years. hot flashes are an expected side effect of tamoxifen. leg cramps may be a sign of deep vein thrombosis, and the patient should immediately notify the health care provider if pain occurs.

which information should the nurse include in teaching a patient who is scheduled for external beam radiation to the breast? a.the radiation therapy will take a week to complete. b.careful skin care in the radiated area will be needed. c.visitors are restricted until the radiation therapy is completed. d.wigs may be used until the hair regrows after radiation therapy.

b. skin care will be needed because of the damage caused to the skin by the radiation. external beam radiation is done over a 5- to 6-week period. scalp hair loss does not occur with breast radiation therapy. because the patient does not have radioactive implants, no visitor restrictions are necessary.

a client is receiving treatment for stage IV ovarian cancer and asks the nurse to discuss her prognosis. the client plans to have aggressive surgical, radiation, and chemotherapy treatments. which of the following prognoses should the nurse discuss with the client? a.good b.guarded c.poor

c.

a 50-yr-old male is scheduled for an annual physical examination. which diagnostic test will the nurse plan to explain to the patient? a.urinalysis collection b.uroflowmetry studies c.prostate-specific antigen (PSA) d.transrectal ultrasound scanning (TRUS)

c. an annual digital rectal exam (DRE) and PSA are usually recommended starting at age 50 years for men who have an average risk for prostate cancer. urinalysis and uroflowmetry studies are done if patients have symptoms of urinary tract infection or changes in the urinary stream. TRUS may be ordered if the DRE or PSA results are abnormal.

a 53-yr-old woman who is experiencing menopause is discussing the use of hormone therapy (HT) with the nurse. which information about the risk of breast cancer will the nurse provide? a.HT is a safe therapy for menopausal symptoms if there is no family history of BRCA genes. b.HT does not appear to increase the risk for breast cancer unless there are other risk factors. c.the patient and her health care provider must weigh the benefits of HT against the risks of breast cancer. d.natural herbs are as effective as estrogen in relieving symptoms without increasing the risk of breast cancer.

c. because HT is linked to an increased risk for breast cancer, the patient and health care provider must determine whether to use HT. breast cancer incidence is increased in women using HT, independent of other risk factors. HT increases the risk for both non-BRCA-associated cancer and BRCA-related cancers. alternative therapies can be used but are not consistent in relieving menopausal symptoms.

which action by the assistive personnel (AP) indicates that the nurse should provide more teaching? a.the AP apply a cold pack to the scrotum for a patient with mumps orchitis. b.the AP help a patient who has had a prostatectomy to put on antiembolism hose. c.the AP leave the foreskin pulled back after cleaning the glans of a patient who has a retention catheter. d.the AP encourage a high oral fluid intake for patient who had transurethral resection of the prostate yesterday.

c. paraphimosis can be caused by failing to replace the foreskin back over the glans after cleaning. the other actions by UAP are appropriate.

which patient in the women's health clinic will the nurse expect to teach about an endometrial biopsy? a.a 35-yr-old patient who has used oral contraceptives for 15 years b.a 55-yr-old patient who has 3 to 4 alcohol-containing beverages each day c.a 25-yr-old patient who has a family history of hereditary nonpolyposis colorectal cancer d.a 45-yr-old patient who has had six full-term pregnancies and two spontaneous abortions

c. patients with a personal or familial history of hereditary nonpolyposis colorectal cancer are at increased risk for endometrial cancer. alcohol use does not increase this risk. multiple pregnancies and oral contraceptive use decrease the risk of endometrial cancer.

what will the nurse ask the patient about to determine the severity of benign prostatic hyperplasia (BPH) symptoms? a.blood in the urine b.lower back or hip pain c.force of urinary stream d.erectile dysfunction (ED)

c. the American Urological Association Symptom Index for a patient with BPH asks questions such as the force and frequency of urination and nocturia. blood in the urine, ED, and back or hip pain are not typical symptoms of BPH.

the nurse in the clinic notes elevated prostate-specific antigen (PSA) levels in the laboratory results of these patients. which patient's elevated PSA result requires further evaluation? a.a 38-yr-old patient who is being treated for acute prostatitis b.a 52-yr-old patient who goes on long bicycle rides every weekend c.a 48-yr-old patient whose father died of metastatic prostate cancer d.a 75-yr-old patient who uses saw palmetto to treat benign prostatic hyperplasia (BPH)

c. the family history of prostate cancer and elevation of PSA indicate that further evaluation of the patient for prostate cancer is needed. PSA levels are often increased with prostatic inflammation or infection.

a patient newly diagnosed with stage I breast cancer is discussing treatment options with the nurse. which statement by the patient indicates that additional teaching may be needed? a."there are several options that I can consider for treating the cancer." b."i will probably need radiation to the breast after having the surgery." c."mastectomy is the best choice to decrease the chance of cancer death." d."i can probably have reconstructive surgery at the same time as a mastectomy."

c. the overall survival rate with lumpectomy and radiation is the same as with mastectomy. the other patient statements indicate a good understanding of stage I breast cancer treatment.

which potential cause of infection will the nurse consider as a risk in the plan of care for a patient immediately after a perineal radical prostatectomy? a.urinary incontinence b.prolonged urinary stasis c.fecal wound contamination d.suprapubic catheter placement

c. the perineal approach increases the risk for infection because the incision is located close to the anus, and contamination with feces is possible. urinary stasis and incontinence do not occur because the patient has a retention catheter in place for 1 to 2 weeks. a urethral catheter is used after the surgery.

a nurse is assessing a client who is postoperative following a vaginal hysterectomy. which of the following findings is a manifestation of deep-vein thrombosis (DVT)? a.coolness of the leg or legs b.decreased pedal pulses c.pain in the ankle and foot d.unilateral leg edema

d.

a nurse is caring for a client who is postoperative following a right-sided mastectomy and has a drain connected to a portable drainage evacuator. which of the following actions should the nurse? a.dangle the operative limb for 5 mins evert hour b.place the head of the client's bed at 15 degree angle c.keep the wound drain evacuator fully expanded at all times d.take blood pressure on the client's non-affected arm

d.

a nurse is caring for a middle adult client who has just received the diagnosis of endometrial cancer. in taking a nursing history, which of the following manifestations is likely to be reported by this client? a.unilateral swelling on the posterior of the vulva b.extreme abdominal pain with intercourse c.green, malodorous vaginal discharge d.postmenopausal bleeding

d.

when caring for a patient with continuous bladder irrigation after having transurethral resection of the prostate, which action could the nurse delegate to assistive personnel (AP)? a.teach the patient how to perform Kegel exercises. b.monitor for increases in bleeding or presence of clots. c.increase the flowrate of the irrigation if clots are noted. d.report any patient reports of pain or spasms to the nurse.

d. AP education and role includes reporting patient concerns to supervising nurses. patient teaching, assessments for complications, and actions such as bladder irrigation require more education and would be done by licensed nursing staff.

which topic would the nurse plan to teach a 57-year-old man who is scheduled for an annual physical examination? a.increased risk for testicular cancer b.possible changes in erectile function c.normal decreases in testosterone level d.prostate-specific antigen (PSA) testing

d. PSA testing may be recommended annually for men, starting at age 50 based on the person's risk history and discussion with their HCP. there is no indication that the other patient teaching topics are appropriate for this patient.

which test will the nurse plan to explain to a 61-yr-old patient who has an enlarged prostate detected by digital rectal examination (DRE) and an elevated prostate-specific antigen (PSA) level? a.cystourethroscopy b.uroflowmetry studies c.magnetic resonance imaging (MRI) d.transrectal ultrasonography (TRUS)

d. in a patient with an abnormal DRE and elevated PSA, transrectal ultrasound is used to visualize the prostate for biopsy. uroflowmetry studies help determine the extent of urine blockage and treatment, but there is no indication that this is a problem for this patient. cystoscopy may be used before prostatectomy but will not be done until after the TRUS and biopsy. MRI is used to determine whether prostatic cancer has metastasized but would not be ordered at this stage of the diagnostic process.

a 58-yr-old woman tells the nurse, "i understand that I have stage 2 breast cancer and I need to decide on a surgery, but I feel overwhelmed. what do you think I should do?" which response would the nurse provide? a."i would have a lumpectomy, but you need to decide what is best for you." b."it would not be appropriate for me to make a decision about your health." c."tell me what you understand about the surgical options that are available." d."there is no need to make a decision rapidly; you have time to think about this."

d. inquiring about the patient's understanding shows the nurse's willingness to assist the patient with the decision-making process without imposing the nurse's values or opinions. treatment decisions for breast cancer do need to be made relatively quickly. imposing the nurse's opinions or showing an unwillingness to discuss the topic could cut off communication.

a patient who has been diagnosed with stage 2 prostate cancer chooses the option of active surveillance. which action would the nurse plan to take? a.vaccinate the patient with sipuleucel-T (Provenge). b.provide the patient with information about cryotherapy. c.teach the patient about placement of intraurethral stents. d.schedule the patient for annual prostate-specific antigen testing.

d. patients who opt for active surveillance need to have annual digital rectal examinations and prostate-specific antigen testing. vaccination with sipuleucel-T, cryotherapy, and stent placement are options for patients who choose to have active treatment for prostate cancer.

which information would the nurse include when teaching a young women's community service group about breast self-examination (BSE)? a. BSE will reduce the risk of dying from breast cancer. b.BSE should be done daily while taking a bath or shower. c.annual mammograms should be scheduled in addition to BSE. d.performing BSE after the menstrual period is more comfortable.

d. performing BSE at the end of the menstrual period will reduce the breast tenderness associated with the procedure. research has shown that BSE has no effect on reducing deaths from breast cancer. however, you still need to teach women the importance of knowing how their breasts look and feel and to report breast changes (e.g., nipple discharge, a lump) to their HCP. BSE would be done monthly. annual mammograms are not routinely scheduled for women younger than age 40 years.

after a transurethral resection of the prostate (TURP), a patient with continuous bladder irrigation reports painful bladder spasms. the nurse observes clots in the urine. which action would the nurse take first? a.increase the flowrate of the bladder irrigation. b.collect a urine specimen for culture and sensitivity testing. c.give the patient the prescribed belladonna and opium suppository. d.manually instill and withdraw 50 mL of saline through the catheter.

d. the assessment suggests that obstruction by a clot is causing the bladder spasms, and the nurse's first action would be to irrigate the catheter manually and to try to remove the clots. there is no reason to suspect infection and no need to culture the urine base on the presence of clots. increasing the flowrate of the irrigation will further distend the bladder and may increase spasms. the belladonna and opium suppository will decrease bladder spasms but will not remove the obstructing blood clot.

what action will the nurse take when caring for a patient who has a radium implant for treatment of cervical cancer? a.assist the patient to ambulate every 2 to 3 hours. b.use gloves and gown when changing the patient's bed. c.flush the toilet several times right after the patient voids. d.encourage the patient to discuss any concerns by telephone.

d. the nurse should spend minimal time in the patient's room to avoid exposure to radiation. the patient and nurse can have longer conversations by telephone between the patient room and nursing station. to prevent displacement of the implant, absolute bed rest is required. wearing of gloves and gown when changing linens and flushing the toilet several times are not necessary because the isotope is confined to the implant.

which information about continuous bladder irrigation will the nurse teach to a patient who is being admitted for a transurethral resection of the prostate (TURP)? a.bladder irrigation decreases the risk of postoperative bleeding. b.hydration and urine output are maintained by bladder irrigation. c.antibiotics are infused continuously through the bladder irrigation. d.bladder irrigation prevents obstruction of the catheter after surgery.

d. the purpose of bladder irrigation is to remove clots from the bladder and prevent obstruction of the catheter by clots. the irrigation does not decrease bleeding or improve hydration. antibiotics are given by the IV route, not through the bladder irrigation.