NCLEX-RN Exam - Topic 2 Question 1 Discussion

Actual exam question for NCLEX's NCLEX-RN exam

Question #: 1
Topic #: 2

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:

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.''

C''If I feel as though I have developed a fever, I will take a rectal temperature, which is the most accurate.''

D''I do not plan to do any heavy lifting until I visit my doctor again.''

Show Suggested 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

5 months ago

Isometric exercises are great for recovery, good call!

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Louis

5 months ago

Totally agree, but it's not just about fluids for clots.

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Becky

5 months ago

Drinking 10-12 glasses is a lot, but hydration is key!

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Anthony

6 months ago

Wait, is rectal temp really the most accurate? Sounds weird.

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Matthew

6 months ago

No heavy lifting is smart, but he should still be careful with other activities.

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Marvel

6 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

6 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

7 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

7 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

7 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

7 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

7 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

8 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

8 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

11 months ago

I also think A is the best option, it makes sense for postoperative care.

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Justine

11 months 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

11 months 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

11 months ago

I agree, drinking plenty of fluids can prevent clot formation.

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Gayla

11 months 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

10 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

10 months ago

C: I do not plan to do any heavy lifting until I visit my doctor again.

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Viola

10 months ago

B: The isometric exercises will help to strengthen my perineal muscles and help me control my urine.

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Stephaine

10 months ago

B: The isometric exercises will help to strengthen my perineal muscles and help me control my urine.

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Brice

11 months 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

11 months 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

11 months ago

I think the correct answer is A.

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Howard

11 months 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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