ASATT National Certification Exam (NCE) Practice Exam 2025 - Free NCE Practice Questions and Study Guide

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During a TURP procedure, what condition might cause confusion and disorientation in the patient?

Hypernatremia

Hypercalcemia

Hypoatremia

Hypoatremia, or low sodium levels in the blood, can lead to a variety of neurological symptoms, including confusion and disorientation. This condition occurs when the sodium concentration in the body becomes too low, causing water to move into cells, which leads to cellular swelling and disruption of normal function. In the context of a TURP (Transurethral Resection of the Prostate) procedure, the risk of developing hypoatremia is particularly relevant due to potential fluid overload or absorption during the surgery.

The body's sodium levels are crucial for maintaining fluid balance, nerve function, and muscle contractions. As hypoatremia develops, patients may experience confusion, disorientation, seizures, and even coma in severe cases. The onset of these symptoms can be rapid and is a critical consideration in post-operative care for patients who have undergone TURP.

While other conditions such as hypernatremia, hypercalcemia, and hypokalemia may also affect mental status or cause confusion, they are typically associated with different clinical presentations or less direct impact on neurological function compared to hypoatremia. Thus, understanding the implications of sodium levels is essential in monitoring and managing patients following surgical procedures like TURP.

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Hypokalemia

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