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    RN Adult Medical Surgical 2023 Proctored Exam

    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. Pink-tinged urine: Light pink urine is expected during continuous bladder irrigation after a TURP because of small amounts of bleeding from the surgical site. This finding is not unusual and does not require immediate provider notification. B. Moderate pain: Some discomfort or cramping is common after TURP due to catheter presence and bladder irrigation. Pain should be managed according to prescribed analgesics but does not necessarily indicate a complication. C. Decreased urinary output: A sudden decrease in urinary output can indicate catheter obstruction, often caused by blood clots, which is a serious postoperative complication. The nurse should report this immediately to the provider to restore urine flow and prevent bladder distention or further complications. D. Client urge to void: Feeling the urge to void is expected as the bladder fills during continuous irrigation. This sensation is common and does not indicate a complication that requires provider notification.

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