Practice Question
A client arrives to the medical-surgical unit 4 hours after a transurethral resection of the prostate (TURP). A triple-lumen catheter for continuous bladder irrigation with 0.9% sodium chloride is infusing, and the nurse observes dark, pink-tinged outflow with blood clots in the tubing and collection bag. Which action should the nurse take?
Answer Choices:
Correct Answer:
Irrigate the catheter manually.
Rationale:
⬗ Blood clots can block the catheter, leading to bladder distention and pain post-TURP.
⬗ Manual irrigation helps remove obstructive clots and restore continuous outflow.
⬗ Timely irrigation prevents complications like spasms or surgical disruption.
⬗ This is a priority nursing intervention in continuous bladder irrigation care.
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This question is from RN-Hesi Medical Surgical which contains 52 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: HESI Exam(s)
- Domain: Hesi MedSurg
- Answer Choices: 4
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