A nurse is caring for a client who had a transurethral resection of the prostate (TURP) and has a continuous bladder irrigation in place. Which actions should the nurse take? (Select all that apply)

Choice A reason: Bright red urine or large clots post-TURP indicate significant bleeding or obstruction, requiring immediate surgeon notification. Hemorrhage can lead to hypovolemic shock, and clots may block the catheter, causing bladder distension or renal complications, necessitating urgent intervention to stabilize the patient and ensure procedural success. Choice B reason: Using sterile technique when changing irrigation bags prevents catheter-associated urinary tract infections, a major risk post-TURP. Pathogens introduced during bag changes can ascend the catheter, leading to infections that may progress to sepsis, particularly in immunocompromised patients, making sterility critical for safe recovery and infection prevention. Choice C reason: Increasing irrigation flow for pink urine without medical orders is inappropriate, as pink urine is expected post-TURP due to minor bleeding. Adjusting flow risks disrupting hemostasis or causing fluid overload, which can strain the cardiovascular system or kidneys, requiring careful assessment to avoid complications. Choice D reason: Monitoring fluid intake and output ensures proper hydration and detects complications like catheter blockage or excessive bleeding. Accurate tracking of irrigation fluid and urine output assesses kidney function and catheter patency, preventing fluid overload or hypovolemia, which are critical for post-TURP recovery and maintaining renal stability.