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    Hesi rn exit proctored examQuestion 56
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    Hesi rn exit proctored exam
    Select All That Apply

    When assessing a client who had a transurethral resection of the prostate (TURP) one day ago, the nurse observes that his scrotum and penis are edematous. Which intervention(s) should the nurse implement? Select all that apply.

    Explanation & Rationale

    A. Remove the indwelling urinary catheter: The catheter should not be removed without a specific prescription, especially after a TURP, as it helps control bleeding and allows bladder irrigation. B. Notify the healthcare provider immediately: Mild to moderate scrotal and penile edema is a common and expected finding after TURP; immediate notification is not necessary unless accompanied by severe pain or other complications. C. Obtain a specimen for urinalysis: A urinalysis is not indicated solely for external edema unless there are signs of infection such as fever, cloudy urine, or foul odor. D. Put a pillow under the buttocks: Elevating the scrotum by placing a pillow under the buttocks can reduce swelling through improved venous return and support the area comfortably. E. Apply a cold pack to the scrotal and penile areas: Cold therapy helps reduce inflammation and swelling by causing vasoconstriction, which is appropriate for managing expected postoperative edema.

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