A nurse is collecting data from a client who is 1 day postoperative following a transurethral resection of the prostate. Which of the following findings should the nurse report to the provider?

Transurethral resection of the prostate is commonly performed to treat urinary obstruction caused by benign prostatic hyperplasia. In the immediate postoperative period, some hematuria and mild bladder spasms are expected due to surgical manipulation of the prostate tissue. However, excessive bleeding can indicate a complication that requires prompt medical attention. Nurses must carefully monitor urine color, output, and the presence of clots to detect abnormal findings early. Rationale: A. Occasional small clots in the urine are expected after TURP because residual blood from the surgical site may pass through the urinary tract. This is considered a normal postoperative finding as long as the clots are small and not accompanied by obstruction or heavy bleeding. Continuous monitoring is still necessary, but this finding alone does not require immediate reporting. B. Frequent urge to urinate is a common postoperative symptom due to bladder irritation from the surgery and the presence of a urinary catheter. It is often caused by bladder spasms and is an expected response after TURP. This symptom is uncomfortable but not indicative of a complication requiring urgent provider notification. C. A urine output of 300 mL over 8 hours may be slightly low but can still be acceptable depending on fluid intake, catheter patency, and overall clinical context. It requires monitoring but is not immediately alarming in isolation. The nurse should assess trends rather than report this finding as a priority abnormality. D. Dark red urine indicates active or excessive bleeding, which is not an expected finding after TURP. Mild hematuria is normal, but dark red urine suggests significant hemorrhage that may lead to clot retention and bladder obstruction. This finding requires immediate notification of the provider for further evaluation and intervention.