A postoperative TURP client returns from the recovery room to the general surgery unit and is in stable condition. One hour later the nurse assesses him and finds him to be confused and disoriented…

The correct answer is D. Hyponatremia. (A) Early signs of hypovolemic shock include hypotension, tachycardia, tachypnea, pallor, and (B) Early signs of potassium depletion include muscular weakness or paralysis, tetany, postural hypotension, weak pulse, shallow respirations, apathy, weak voice, and…

Physiological Integrity: Physiological Adaptation

Question

A postoperative TURP client returns from the recovery room to the general surgery unit and is in stable condition. One hour later the nurse assesses him and finds him to be confused and disoriented. She recognizes that this is most likely caused by:

Options

AHypovolemic shock
BHypokalemia
CHypernatremia
DHyponatremia

How the community answered

(22 responses)

A
14% (3)
B
5% (1)
C
32% (7)
D
50% (11)

Explanation

(A) Early signs of hypovolemic shock include hypotension, tachycardia, tachypnea, pallor, and (B) Early signs of potassium depletion include muscular weakness or paralysis, tetany, postural hypotension, weak pulse, shallow respirations, apathy, weak voice, and electrocardiographic (C) Early signs of an elevated sodium level include dry oral mucous membranes, marked thirst, hypertension, tachycardia, oliguria or anuria, anxiety, and agitation. (D) This answer is correct. Important early clinical findings of a decreased sodium concentration include confusion and disorientation. Hyponatremia can occur after a TURP because absorption during surgery through the prostate veins can increase circulating blood volume and decrease sodium concentration.

Topics

#TURP syndrome#hyponatremia#postoperative complications#fluid electrolyte imbalance

Community Discussion

No community discussion yet for this question.

Full NCLEX-RN Practice