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    Ati lpn 112 med surg proctored exam (urinary)

    A nurse is collecting data on a client who is postoperative following a transurethral resection of the prostate (TURP). The nurse should recognize which of the following findings is the priority?

    Explanation & Rationale

    A. The client has bright red urine in his urinary catheter: Bright red urine indicates active bleeding, which can be a sign of hemorrhage following TURP. Prompt recognition and reporting are critical to prevent complications such as hypovolemic shock, making this the priority finding. B. The client has small blood clots in his urinary catheter: Small clots are a common postoperative finding and often expected after TURP. While they should be monitored, they are not as immediately life-threatening as active bright red bleeding. C. The client reports a continuous urge to void: This is a common complaint caused by the large (30 mL) balloon of the indwelling catheter resting on the bladder neck, which triggers the micturition reflex. While uncomfortable, it is an expected finding. The nurse should reassure the client and ensure the catheter is not kinked. D. The client reports burning around the urinary catheter: Localized burning or discomfort is expected due to catheter irritation. It should be addressed for comfort but does not pose an immediate threat compared to active hemorrhage.

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