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Practice Question

A 68-year-old patient undergoes suprapubic prostatectomy. He returns to the unit with an indwelling urinary catheter in his urethra and a cystostomy tube in his abdomen, attached to irrigation. What nursing prescription is most appropriate to add to the patient's initial postoperative plan of care?

Answer Choices:

Correct Answer:

Ensure that the cystostomy tube is unclamped at all times

Rationale:

◈ A suprapubic catheter allows bladder drainage directly through the abdominal wall.

Maintaining continuous drainage prevents bladder distension, infection, and clot formation.

◈ Clamping or improper irrigation can increase bladder pressure and cause complications.

◈ The tube should be secured properly but kept unclamped to maintain a consistent flow.

◈ Continuous irrigation and monitoring ensure urine output and patency are preserved postoperatively.

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This question is from RN Ati Med-Surg Urologic & Reproductive which contains 40 questions.

More Questions from This Exam
A patient with prostatitis asks the nurse, "why do I need to take a stool softener? The problem is with my urine, not my bowels!" The nurse would provide which explanation to the patient? "

Answer Choices:

A. Being constipated puts you at more risk for developing complications of prostatitis"
B. "This will help you avoid constipation because straining is painful with prostatitis"
C. "This will keep the bowel free of feces, which will decrease the swelling inside"
D. "This is standard prescription for anyone with an abdominal problem"
A patient is sent home with a catheter after a prostatectomy. What teaching by the nurse is least important?

Answer Choices:

A. "Notify us if your bleeding increases
B. "Keep the drainage bag below the level of your bladder at all times"
C. "Wash around the meatus with soap and water each day" "
D. Apply antibiotic ointment to the meatus twice a day"
The nurse is explaining the surgery transurethral resection of the prostate (TURP) to a 60-year-old patient scheduled for the operation. Which of the following accurately describes this procedure?

Answer Choices:

A. It is the least commonly used of all procedures for prostatectomy
B. It has a shorter recovery time than other forms of prostatectomy
C. It produces a smaller incision than other types of prostatectomies
D. It is not recommended for those who are old or a poor surgical risk
From Exam
RN Ati Med-Surg Urologic & Reproductive

40 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: ATI Exam(s)
  • Domain: RN ATI MedSurg
  • Answer Choices: 4
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