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NCLEX-RN Exam - Topic 2 Question 1 Discussion

A postoperative prostatectomy client is preparing for discharge from the hospital the next morning. The nurse realizes that additional instructions are necessary when he states:
C) ''If I feel as though I have developed a fever, I will take a rectal temperature, which is the most accurate.''
A) ''If I drink 10 to 12 glasses of fluids each day, that will help to prevent any clot formation in my urine.''
B) ''The isometric exercises will help to strengthen my perineal muscles and help me control my urine.''
D) ''I do not plan to do any heavy lifting until I visit my doctor again.''

NCLEX-RN Exam - Topic 2 Question 1 Discussion

Actual exam question for NCLEX's NCLEX-RN exam
Question #: 1
Topic #: 2
[All NCLEX-RN Questions]

A postoperative prostatectomy client is preparing for discharge from the hospital the next morning. The nurse realizes that additional instructions are necessary when he states:

Show Suggested Answer Hide Answer
Suggested Answer: C

(A) This is correct health teaching. Drinking 10--12 glasses of clear liquid will help increase urine volumes and prevent clot formation. (B) This is correct health teaching. These types of exercises are prescribed by physicians to assist postprostatectomy clients to strengthen their perineal muscles. (C) This action is not recommended post-TURP because of the close proximity of the prostate and rectum. (D) This is correct healthcare teaching. The client should limit walking long distances, lifting heavy objects, or driving a car until these activities are cleared by the physician at the first office visit.


by Roxanne at Jun 12, 2025, 08:41 PM

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Markus
6 months ago
Isometric exercises are great for recovery, good call!
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Louis
7 months ago
Totally agree, but it's not just about fluids for clots.
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Becky
7 months ago
Drinking 10-12 glasses is a lot, but hydration is key!
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Anthony
7 months ago
Wait, is rectal temp really the most accurate? Sounds weird.
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Matthew
7 months ago
No heavy lifting is smart, but he should still be careful with other activities.
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Marvel
8 months ago
I practiced questions about activity restrictions post-surgery, and I think avoiding heavy lifting is definitely a good plan until cleared by the doctor.
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Orville
8 months ago
I feel like taking a rectal temperature might not be the best advice; I thought oral or tympanic was more common for home use.
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Gail
8 months ago
I think the isometric exercises are important, but I can't recall if they should be started right away or after some time.
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Pamella
8 months ago
I remember discussing fluid intake, but I'm not sure if 10 to 12 glasses is too much after surgery.
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Catina
9 months ago
I feel confident about this question. The client's statement about taking a rectal temperature to check for fever is inaccurate. The nurse will need to provide the correct information on temperature monitoring.
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Antonette
9 months ago
I'm a bit unsure about this one. There are a few statements that could potentially require additional instructions. I'll need to think through each one carefully to determine the best response.
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Isabella
9 months ago
Okay, I've got this. The client's statement about drinking 10-12 glasses of fluids to prevent clot formation is incorrect. The nurse will need to provide proper guidance on fluid intake and clot prevention.
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Jesus
9 months ago
Hmm, this is a tricky one. The client seems to have some misconceptions about post-prostatectomy care. I'll need to pay close attention to identify the statement that needs the most clarification.
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Francine
9 months ago
This question seems straightforward. I'll need to carefully evaluate each of the client's statements to determine which one requires additional instructions from the nurse.
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Eden
1 year ago
I also think A is the best option, it makes sense for postoperative care.
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Justine
1 year ago
Drinking 10-12 glasses of fluids a day to prevent clots? That's a lot of trips to the bathroom! I hope the patient has a comfy recliner nearby.
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Nichelle
1 year ago
Avoiding heavy lifting is a no-brainer after a prostatectomy. Good to see the patient is aware of that in Option D.
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Brynn
1 year ago
I agree, drinking plenty of fluids can prevent clot formation.
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Gayla
1 year ago
Wow, a rectal temperature? I'm not sure I'd want to be taking my own temperature that way, even if it's the most accurate. Option C is a bit too hands-on for my liking.
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Huey
11 months ago
User: Wow, a rectal temperature? I'm not sure I'd want to be taking my own temperature that way, even if it's the most accurate. Option C is a bit too hands-on for my liking.
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Ernest
11 months ago
C: I do not plan to do any heavy lifting until I visit my doctor again.
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Viola
12 months ago
B: The isometric exercises will help to strengthen my perineal muscles and help me control my urine.
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Stephaine
1 year ago
B: The isometric exercises will help to strengthen my perineal muscles and help me control my urine.
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Brice
1 year ago
A: If I drink 10 to 12 glasses of fluids each day, that will help to prevent any clot formation in my urine.
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Leatha
1 year ago
A: If I drink 10 to 12 glasses of fluids each day, that will help to prevent any clot formation in my urine.
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Benedict
1 year ago
I think the correct answer is A.
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Howard
1 year ago
Option B is the correct answer. Isometric exercises are essential for strengthening the perineal muscles and improving urine control after a prostatectomy.
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Adaline
1 year ago
C: I do not plan to do any heavy lifting until I visit my doctor again.
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Isadora
1 year ago
B: The isometric exercises will help to strengthen my perineal muscles and help me control my urine.
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Bernardine
1 year ago
A: If I drink 10 to 12 glasses of fluids each day, that will help to prevent any clot formation in my urine.
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