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A client is being discharged home after an open

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A client is being discharged home after an open radicalprostatectomy.Which statement indicates aneed for furtherteaching?1."I will try to drink lots of water." [5%]2."I will try to walk in my driveway twice a day." [17%]3."I will wash around my catheter twice a day." [20%]4."If I get constipated, I will use a suppository." [56%]
CorrectAnswered correctly56%Time:52secondsUpdated:12/22/2017Explanation:
Following open radicalprostatectomy, any rectal interventionssuch assuppositoriesorenemasmust beavoidedto preventstress on the suture lines and problems with healing in the surgicalarea.The client should not strain when having a bowel movementfor these reasons.Therefore, interventions topreventconstipationare an important part of postoperative care anddischarge teaching.Prevention of constipation is particularlyimportant while the client remains on opioid analgesics, which cancause constipation(Option 4).(Option 1)Fluid intake should be encouraged in this client.(Option 2)The client is at risk for postoperative deep veinthrombosis and pulmonary embolism.Ambulation is an importantpart of preventing these serious surgical complications.Ambulationwill also help reduce constipation.
(Option 3)The client who goes home with an indwelling cathetershould learn how to clean around the catheter at the urinary meatuswith warm water and soap to prevent infection.Educational objective:Clients who have had an open radical prostatectomy for prostatecancer should avoid anything that could cause strain on the rectalarea.Straining, suppositories, and enemas are contraindicated inthese clients, and interventions should be implemented to preventconstipation.The emergency department nurse performs an admissionassessment for a client with priapism of about 3 hours duration whoalso has sickle cell anemia.What assessment finding is ofmostconcern and warrants immediate notification of the health careprovider?1.Bluish discoloration of the erect penis [66%]2.Drank a 6-pack of beer 8 hours ago [4%]3.Extreme penile pain rated as 9 on 0-10 scale [9%]
4.Has not voided for at least 6 hours [19%]IncorrectCorrect answer1Answered correctly66%Time:78secondsUpdated:01/07/2018Explanation:Priapismis a sustained, painful erection often associated withsickle cell anemia, as the sickling (crescent shaping) of red bloodcells can lead to penile vascular occlusion, erectile tissue hypoxia,and tissue necrosis.Bluish discolorationis of most concern as itcan be a sign ofischemiato the penis.(Option 2)Some factors, such as alcohol intake; spinal cord injury;and phosphodiesterase-5 enzyme inhibitor (ie, sildenafil),psychotropic (ie, trazodone), and illegal (ie, cocaine) drugs cancontribute to the development of priapism.Possible penileischemia is a more urgent concern than alcohol intake.

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Term
Winter
Professor
Walter Mark

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