TURP & Prostatectomy II BPH,

Surgery:

Common NCLEX Question

Kaplan

Top test tip:

• TURP - Transurethral resection of the prostate - less invasive as an instrument inserted directly through the urethra to remove the prostate. • Prostatectomy - MORE invasive as a surgical incision is made.

After either procedure - 3 way Foley catheter is used for continuous bladder irrigation. This gives pressure to bleeding tissue & allows urine drainage.

HESI

1. Benign prostatic hypertrophy (BPH) that has been refractory to treatment with other medications? Answer: Anticipate TURP

2. Instructions for a patient who has undergone prostatectomy? SATA • Observe for signs of UTI • Ensure fluid intake of 2-3 L per day

Prostatectomy 5 days ago … small blood clots. First action? - Advise client to follow up with HCP immediately

1. Expected assessment immediately post TURP? • Bloody urinary drainage 2. 24 hours after TURP the nurse notices bright red urine... First action? • Contact health care provider immediately3. Third day post-op TURP, catheter is removed … uncontrolled dribbling after urination? • Temporary incontinence is expected following urinary catheter removal

So when a question says a client is reporting SEVERE PAIN with continuous bladder irrigationafter a TURP. First nursing Action: Assess amount & urine output - light pink color - BEST

Output = MORE than input NOT “equal to” or “less than”

Key Points:

Normal Immediately After - Bloody urine - 24 hours After - Urine Light Red & Pink - 36 hours MAX - Small blood clots

hours 36hrs

1

REPORT

ml