Order Retropubic Prostatectomy Discussion

Order Retropubic Prostatectomy Discussion
Order 5948598
Order Retropubic Prostatectomy Discussion
When introducing the Foley self-retaining catheter the
nurse should be aware that the primary risk to Mr
Cowley is:
eo ao ®
urinary tract infection
urethral trauma
vasovagal attack
haematuria
The function of the prostate gland is to:
a
b
c
d
Order Retropubic Prostatectomy Discussion
secrete prostaglandins from its lobes directly into the blood
stream
excrete spermatozoa from its 2 lobes into the urethra
excrete seminal fluid into the urethra
secrete testosterone from its 4 lobes into the bloodstream
The surgical registrar requested the nurse to assist with
a digital examination of Mr Cowley’s rectum. This
examination is usually done to exclude:
f aoe
constipation
benign prostatism
malignant prostatism
bladder diverticuli
The nurse could expect that Mr Cowley would have the
following haematology tests completed as part of his
physical assessment:
a
b
Leucocyte count, plasma viscosity (ESR), haemoglobin,
blood urea and electrolyte estimation
haemoglobin, prothrombin time, electrolyte estimation,
plasma viscosity, and vanillyl mandelic acid (VMA)
plasma viscosity, alkaline phosphatase, haemoglobin, blood
urea, and leucocyte count
calcium levels, prothrombin time, plasma viscosity, acid
phosphatase, and leucocyte count
Genitourinary Case Histories
4.5 The surgeon advised that Mr Cowley required a
retropubic prostatectomy to relieve his prostatism.
Having obtained his written consent and planned the
operation for 3 day’s time, the surgeon is most likely to
expect the nurse to concentrate on:
a bladder washouts, blood grouping and cross-matching,
culture and sensitivity of urine and sputum, adequate
nutrition and skin preparation
b_ bowel preparation, culture of catheter specimen of urine,
skin preparation, counselling Mr and Mrs Cowley, physiotherapy and adequate nutrition.
e skin preparation, adequate hydration, counselling Mr
Cowley, physiotherapy and preventing infection risks
d chest physiotherapy, sputum specimens for culture and
sensitivity, skin preparation, counselling Mr Cowley,
catheter toilet, and adequate hydration
4.6 Apart from ensuring a clear airway the nurse should
monitor and observe for the following immediately after
surgery:
a wound drain, clot retention, intravenous therapy and
continuous bladder drainage.
b midline abdominal wound drain, haematuria, central
venous pressure and continuous bladder drainage
e€ perineal wound drain, hypotension, plasma intravenous
therapy, and continuous bladder irrigation
d suprapubic wound drain, haematuria, blood transfusion
and continuous bladder irrigation
4.7 Mr Cowley’s postoperative instructions included the
following details:
500 ml of normal saline intravenously every 6 hours
150 ml of clear oral fluids each hour between 0800 and
2200 hours
500 ml of continuous bladder irrigation fluid every 4
hours
Order Retropubic Prostatectomy Discussion
With these figures the fluid balance (excluding urine) at
the end of a 24-hour period would balance out as:
Retropubic Prostatectomy 13
a approximately 3 litres intake and 3 litres output
b an approximate difference of 1 litre between intake and
output
€ a positive balance of approximately 0.5 litre
d a negative balance of 1 litre
4.8 Mr Cowley’s continuous bladder irrigation was employed for 3 days mainly to prevent the occurrence of:
bladder wall diverticuli
acute renal failure
urinary retention
ff aoe urinary tract infection
4.9 35 days postoperatively Mr Cowley has his urinary
catheter removed, he should be warned to expect:
a urinary retention
b_ urinary incontinence
ce haematuria
d= urethral spasm
4.10 Prior to being discharged from hospital for a 3-week
convalescence Mr Cowley should be advised that his
greatest problem in the coming days would centre upon:
external sphincter control
testicular discomfort
nocturnal enuresis
ances contipation
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