A nurse is caring for a client who is receiving continuous bladder irrigation following a transurethral resection of the prostate. The client reports bladder spasms and the nurse observes decreased urinary output. Which of the following actions should the nurse take?

A. Traction is commonly applied after TURP to provide hemostasis at the surgical site. Decreasing traction does not address the priority problem of decreased urinary output and bladder spasms, which most often indicate catheter obstruction from blood clots. B. Although bladder spasms are painful, administering an NSAID does not correct the underlying cause. In addition, NSAIDs can increase bleeding risk following prostate surgery. The priority is to restore catheter patency, not simply treat pain. C. Bladder spasms combined with decreased urinary output during CBI strongly suggest catheter occlusion by blood clots. Manual irrigation with sterile normal saline is indicated to remove clots, restore urine flow, relieve bladder distention, and reduce spasms. This intervention directly treats the cause of the problem and prevents complications such as bladder rupture. D. The indwelling catheter is essential after TURP to maintain bladder drainage and allow continuous irrigation. Removing it could result in urinary retention, bleeding, and bladder distention, and is contraindicated at this stage of care.