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?
Explanation & Rationale
A. Decreased urinary output is correct because after a transurethral resection of the prostate (TURP) with continuous bladder irrigation (CBI), adequate urine output is essential to prevent bladder distention and monitor for obstruction or bleeding. Decreased output may indicate catheter obstruction, bladder spasms, or postoperative complications and should be reported promptly to the provider. B. Client urge to void is incorrect because it is expected postoperatively as the bladder regains sensation and the catheter is in place. This sensation does not necessarily indicate a complication. C. Moderate pain is incorrect because some postoperative discomfort and bladder spasms are expected after TURP. Pain should be managed per protocol but does not require immediate reporting unless severe or uncontrolled. D. Pink-tinged urine is incorrect because lightly blood-tinged urine is expected in the first 24–48 hours after TURP due to surgical manipulation. It is typically monitored and gradually clears with irrigation.