NursingPlex
    Sign In
    Hesi rn med surg 2 proctored exam

    The nurse observes an increased number of blood clots in the drainage tubing of a client with continuous bladder irrigation following a transurethral resection of the prostate (TURP). Which is the best initial nursing action?

    Explanation & Rationale

    Choice A reason: Increasing the flow rate of the bladder irrigation helps flush out clots and maintain catheter patency. This is the most immediate and effective intervention to prevent obstruction and reduce bladder spasms. Choice B reason: While oral fluid intake supports overall hydration and urinary output, it does not address the acute issue of clot accumulation in the catheter tubing. Choice C reason: Antispasmodic agents may relieve discomfort from bladder spasms but do not resolve the underlying mechanical obstruction caused by clots. Choice D reason: Measuring intake and output is important for overall fluid balance but is not an immediate solution to the presence of clots in the tubing.

    🔒 Submit your answer to reveal