A nurse is reinforcing teaching with a client who is postoperative following a transurethral resection of the prostate. Which of the following statements by the client indicates an understanding of the teaching?
Explanation & Rationale
Rationale: A. "This surgery can cause an increase in the amount of semen.": A transurethral resection of the prostate (TURP) often results in retrograde ejaculation, meaning semen may flow backward into the bladder. The volume of visible semen typically decreases, not increases, due to this common complication. B. "I will talk to my partner about other ways of expressing intimacy.": This statement reflects healthy psychological adjustment and understanding of potential changes in sexual function following TURP. It shows emotional readiness to adapt to changes and maintain intimacy in ways beyond penetrative sex, which supports recovery and relationship stability. C. “I will not be able to have sexual intercourse after this surgery.": TURP does not prevent sexual intercourse. While temporary issues like erectile dysfunction or retrograde ejaculation may occur, most clients can resume sexual activity after recovery. This belief represents a misunderstanding of surgical outcomes. D. “This surgery will prevent me from being able to have an erection.": Although some men may experience temporary erectile dysfunction postoperatively, TURP typically does not cause permanent loss of erectile function. Misconceptions about impotence should be addressed through accurate education.