A nurse is reinforcing discharge teaching with a client who has undergone a transurethral resection of the prostate (TURP). Which of the following statements should the nurse include in the teaching?
Explanation & Rationale
Postoperative care for a transurethral resection of the prostate involves managing urinary output and preventing complications like hemorrhage. Knowledge of normal versus abnormal healing, fluid dynamics to prevent clot formation, and proper pain management after urological surgery is necessary for discharge teaching. Choice A rationale . Sexual activity is typically restricted for 4 to 6 weeks following a TURP to prevent trauma to the surgical site and subsequent bleeding. Two weeks is insufficient for internal tissue healing. Strenuous activity or sexual intercourse could cause significant prostatic hemorrhage. Choice B rationale . Naproxen is a nonsteroidal anti-inflammatory drug that inhibits platelet aggregation and increases the risk of bleeding. Post-TURP clients should avoid anticoagulants and certain NSAIDs to prevent surgical site hematuria. Acetaminophen is generally preferred for mild discomfort to ensure safe coagulation. Choice C rationale . Urinary dribbling is common after catheter removal due to temporary sphincter weakness and may persist for several weeks or even months. Informing a client it will resolve in 5 days is misleading and may cause unnecessary anxiety when symptoms persist. Choice D rationale . Increasing fluid intake to 2500 mL to 3000 mL daily helps flush the bladder and prevents blood clots from obstructing the urethra. While mild hematuria is expected, increased fluids maintain patency. If urine becomes bright red or contains large clots, notification is required.