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A nurse is reinforcing discharge teaching with a client who has osteoarthritis. Which of the following statements by the client indicates an understanding of the teaching?

Choice A rationale

Osteoarthritis is caused by inflammation that affects both joints and other body tissues is incorrect. This description is more characteristic of rheumatoid arthritis, which is an autoimmune disease that causes systemic inflammation.

Choice B rationale

Osteoarthritis occurs due to the aging process and results in disintegration of cartilage in a joint is correct. Osteoarthritis is a degenerative joint disease that primarily affects the cartilage, leading to its breakdown over time.

Choice C rationale

Osteoarthritis is due to loss of calcium in the bones, which can lead to increased risk for bone fractures is incorrect. This description is more characteristic of osteoporosis, a condition that weakens bones and makes them more prone to fractures.

Choice D rationale

Osteoarthritis happens in several phases when deposits of crystals develop in joints and soft tissues is incorrect. This description is more characteristic of gout, a type of arthritis caused by the deposition of urate crystals in the joints.

Choice A rationale

Contacting the surgeon if the client reports a continual need to void is not necessary unless it is accompanied by other symptoms such as pain or discomfort. The sensation of needing to void can be common after a TURP due to the presence of the catheter and bladder irrigation. This sensation usually resolves as the bladder heals and adjusts to the catheter.

Choice B rationale

Using sterile technique when preparing the irrigation solution is crucial to prevent infection. Sterile technique ensures that no pathogens are introduced into the bladder, which could lead to complications such as urinary tract infections or sepsis. Maintaining a sterile environment is a fundamental aspect of postoperative care, especially when dealing with invasive procedures like TURP.

Choice C rationale

Adding the amount of bladder irrigation to the total output is incorrect. The correct practice is to subtract the amount of irrigation solution used from the total output to determine the actual urine output. This helps in accurately monitoring the client’s fluid balance and kidney function. Incorrectly adding the irrigation amount could lead to misinterpretation of the client’s urinary output and fluid status.

Choice D rationale

Notifying the surgeon if the urine is bright red or has large clots is essential. Bright red urine or large clots can indicate active bleeding, which is a potential complication after TURP. Early detection and intervention are crucial to prevent significant blood loss and other complications. The nurse should monitor the urine color and consistency closely and report any abnormalities immediately.

Choice E rationale

Ensuring the drainage tubing is patent and without obstruction is vital for the effectiveness of continuous bladder irrigation. Obstructions in the tubing can lead to bladder distention, discomfort, and potential damage to the bladder and urethra. Regularly checking the tubing for kinks or blockages and ensuring a free flow of irrigation solution helps maintain proper bladder function and prevent complications.