Maternal Exam 4 : NUR 231/ NUR231 (Latest Updated summer 2025/26) | Already graded 'A' - Galen College of Nursing

Maternal Exam 4 : NUR 231/ NUR231 (Latest Updated summer 2025/26) | Already graded 'A' - Galen College of Nursing nursing management for acute prostatitis - ANSWER -assess for sx -- fever, severe pain, can't pee, malaise) -patient needs to go to hospital for IV antibiotics, analgesics, sitz baths nursing management for chronic prostatitis - ANSWER -outpatient treatment, continuing antibiotics client education for prostatitis - ANSWER -sitz baths (10-20 min) several times a day, increase fluids, avoid--alcohol, coffee, tea, chocolate, cola, spices Suprapubic catheter for severe urinary retention during acute inflammation -- no sex avoid sitting for long periods of time BPH s/s - ANSWER -frequency, urgency, nocturia, hesitancy, decreased stream force, incomplete bladder empty sensation, abdominal straining when peeing, dribbling, incontinence, urinary retention, azotemia (increased BUN/Cr), hematuria BPH Assessment & Diagnostics - ANSWER -health history (urinary tract surgeries, prostate disease, family history) void diary (frequencies and volume, UA (hematuria/UTI), PSA level, post void residual urine volume medical management for BPH - ANSWER -emergency if patient can't void -- catheter using stylet (done by urologist) meds: alpha-adrenergic blockers, hormonal manipulation surgery: TURP TURP - ANSWER -transurethral resection of the prostate -removes inner portion of prostate TURP pre op nursing care - ANSWER -bedrest, analgesics monitor voids, bladder distention catheter prn, foley for patients with azotemia, apply TED hose, enema d./c NSAIDS/platelet inhibitors 10-14 days prior TURP post-op - ANSWER --maintain fluid balance (monitor amount used for irrigation), strict I/Os -watch for electrolyte imbalances, (hyponatremia, high BP, confusion, respiratory distress) -pain relief = antispasmodics, compress -patient needs to sit and dangle @ bedside the day of surgery (next morning they need to ambulate) CBI - ANSWER -sterile liquid used to prevent clots/remove clots 3-way system hemorrhage complication of TURP - ANSWER -prostate is very vascular critical prevention= irrigation drainage should be reddish pink then clear-light pink w/in 24 hours of surgery arterial bleed - ANSWER -bright red, increased viscosity, clots, requires surgery venous bleed - ANSWER -darker, less viscous -controlled with prescription traction to the catheter so the balloon applies pressure to the prostatic fossa catheter obstruction TURP complication - ANSWER -assess for abdominal distention from bladder blockage -- results in hemorrhage Furosemide can be prescribed to promote urination and keep catheter patent s/s: distinct round swelling above pubis Infection TURP complication - ANSWER -surgeon needs to do 1st dressing change post-op day 1 aseptic technique, avoid anything rectal s/s: fever, chills, sweating, myalgia, frequency, urgency ex. UTI, epididmytitis VTE TURP complication - ANSWER -need early ambulation post-op, lithotomy position during surgery increases risk TURP syndrome s/s - ANSWER --excessive absorption of electrolyte-free irrigation fluids -HA, hypotension, lethargy, confusion, muscle spasm, n/v, seizures, tachycardia, TURP syndrome nursing implications - ANSWER -stop irrigation, admin diuretics, replace bladder irrigation with NS Monitor: strict I/Os, VS, LOC, heart/lung sounds (watch for pulmonary edema, heart failure) TURP patient teaching - ANSWER -urinary incontinence is normal (can last 1-2 years) exercises to help: tense perineal muscles by squeezing butt, start stop urination