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    HESI RN Med surg proctored exam 2

    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: Measuring intake and output is important but not the immediate action needed to address blood clots.Choice B reason:The correct answer is b) because increasing the flow of the bladder irrigation can help to flush out blood clots and maintain catheter patency.Choice C reason: Providing additional oral fluid intake is helpful but not the initial action to clear clots.Choice D reason: Administering an antispasmodic agent can relieve bladder spasms but does not address the clots directly.

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