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    Ati lpn 112 med surg proctored exam (urinary)

    A nurse is caring for a client is who is 4 hr postoperative following a transurethral resection of the prostate (TURP). Which of the following is the priority finding for the nurse report to the provider?

    Explanation & Rationale

    A. Oral temperature of 37.5° C (99.5° F): A slight elevation in temperature is common after surgery due to stress and inflammation. This mild fever is expected and not immediately life-threatening, so it is not the priority. B. Pain level of 4 on a 0 to 10 rating scale: Moderate pain is expected after TURP surgery and can be managed with prescribed analgesics. While important to address for client comfort, it does not indicate an emergent complication. C. Emesis of 100 mL: Nausea and vomiting are common side effects of general or spinal anesthesia. While this needs to be monitored and potentially treated with antiemetics, it does not take priority over a potential surgical hemorrhage. D. Thick, red-colored urine: Thick, bright red urine may indicate active bleeding or clot formation in the bladder, which is a common and potentially serious complication after TURP. Prompt reporting is essential to prevent urinary obstruction, bladder distention, or hemorrhagic shock, making it the priority finding.

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