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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