Discuss NCLEX NCLEX-RN Exam Topic 2 Question 1

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.''

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.

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30 comments · newest first

Markus 9 months ago

Isometric exercises are great for recovery, good call!

Louis 10 months ago

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

Becky 10 months ago

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

Anthony 10 months ago

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

Matthew 10 months ago

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

Marvel 11 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.

Orville 11 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.

Gail 11 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.

Pamella 11 months ago

I remember discussing fluid intake, but I'm not sure if 10 to 12 glasses is too much after surgery.

Catina 12 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.

Antonette 12 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.

Isabella 12 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.

Jesus 1 year 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.

Francine 1 year 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.

Eden 1 year ago

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

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.

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.

Brynn 1 year ago

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

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.

Huey 1 year ago

↳ replying to Gayla

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.

Ernest 1 year ago

↳ replying to Gayla

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

Viola 1 year ago

↳ replying to Gayla

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

Stephaine 1 year ago

↳ replying to Gayla

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

Brice 1 year ago

↳ replying to Gayla

A: If I drink 10 to 12 glasses of fluids each day, that will help to prevent any clot formation in my urine.

Leatha 1 year ago

↳ replying to Gayla

A: If I drink 10 to 12 glasses of fluids each day, that will help to prevent any clot formation in my urine.

Benedict 1 year ago

I think the correct answer is A.

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.

Adaline 1 year ago

↳ replying to Howard

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

Isadora 1 year ago

↳ replying to Howard

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

Bernardine 1 year ago

↳ replying to Howard

A: If I drink 10 to 12 glasses of fluids each day, that will help to prevent any clot formation in my urine.

NCLEX-RN Exam - Topic 2 Question 1 Discussion