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Exam NCLEX-RN topic 6 question 60 discussion

Actual exam question from Test Prep's NCLEX-RN
Question #: 60
Topic #: 6
[All NCLEX-RN Questions]

A client undergoes a transurethral resection, prostate (TURP). He returns from surgery with a three-way continuous Foley irrigation of normal saline in progress.
The purpose of this bladder irrigation is to prevent:

  • A. Bladder spasms
  • B. Clot formation
  • C. Scrotal edema
  • D. Prostatic infection
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Suggested Answer: B 🗳️
(A) The purpose of bladder irrigation is not to prevent bladder spasms, but to drain the bladder and decrease clot formation and obstruction. (B) A three-way system of bladder irrigation will cleanse the bladder and prevent formation of blood clots. A catheter obstructed by clots or other debris will cause prostatic distention and hemorrhage. (C) Scrotal edema seldom occurs after TURP. Bladder irrigation will not prevent this complication. (D) Prostatic infection seldom occurs after TURP. Bladder irrigation will not prevent this complication.

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