A nurse is caring for an older adult client who is 1 hr postoperative following a transurethral resection of the prostate and is receiving continuous bladder irrigation. Which of the following findings should the nurse report to the provider?

Rationale: A. Pink-tinged urine: After a transurethral resection of the prostate, continuous bladder irrigation is expected to produce light pink or blood-tinged urine due to postoperative bleeding from the prostatic fossa. Mild hematuria is common during the first 24 to 48 hours. The irrigation solution dilutes blood in the bladder, resulting in a pink appearance that is anticipated. B. Client urge to void: A sensation of needing to void is common with an indwelling three-way catheter and continuous bladder irrigation. The presence of fluid in the bladder can stimulate stretch receptors, creating a persistent urge despite catheter drainage. This finding is expected and does not necessarily indicate obstruction or complication if output remains adequate. C. Decreased urinary output: A reduction in urinary output during continuous bladder irrigation can indicate catheter obstruction from blood clots or kinking of the tubing. Inadequate drainage increases intravesical pressure, which may lead to bladder distention, pain, and potential disruption of surgical hemostasis. Prompt provider notification is necessary. D. Moderate pain: Some degree of discomfort or bladder spasms is expected following prostate surgery due to tissue manipulation and catheter presence. Pain should be monitored and managed, but moderate discomfort alone within the first postoperative hour is not uncommon. It does not immediately indicate a complication if vital signs and drainage remain stable.