Which information about continues bladder irrigation will the nurse teach to a client who is being admitted for a transurethral resection of the prostrate (TURP)?
Explanation & Rationale
A. Bladder irrigation decreases the risk of postoperative bleeding: Continuous bladder irrigation (CBI) does not prevent bleeding. Post-TURP bleeding is related to surgical resection of prostatic tissue, and CBI helps manage clots but does not reduce the initial risk of hemorrhage. B. Hydration and urine output are maintained by bladder irrigation: CBI does not replace systemic hydration. While it produces continuous urine-like fluid output, the irrigation fluid does not provide intravascular volume expansion, so adequate oral or IV hydration is still necessary. C. Antibiotics are infused continuously through the bladder irrigation: Antibiotics are not administered via bladder irrigation. Antimicrobial therapy, if indicated, is given systemically to prevent or treat infection; CBI only provides mechanical flushing of the bladder. D. Bladder irrigation prevents obstruction of the catheter after surgery: The primary purpose of CBI is to prevent clot formation and blockage of the indwelling catheter by continuously flushing the bladder. This ensures urine can drain freely, prevents bladder distension, and reduces the risk of urinary retention and complications such as infection.