A nurse is caring for a client after TURP surgery and notes continuous bright red bleeding from the urinary catheter. What is the nurse's immediate action?
Increase the rate of intravenous fluids to maintain hydration.
Clamp the catheter for 30 minutes to observe for improvement.
Administer a bolus of fresh frozen plasma to replace clotting factors.
Notify the healthcare provider immediately.
The Correct Answer is D
A. While maintaining hydration is important, the priority is to address the continuous bright red bleeding from the urinary catheter by notifying the healthcare provider immediately.
B. Clamping the catheter may obstruct urine flow and worsen the situation. The nurse should not intervene without healthcare provider guidance.
C. Administering fresh frozen plasma may be necessary in some situations, but it is not the immediate action for addressing continuous bleeding from the urinary catheter.
D. This is the correct answer. Continuous bright red bleeding from the urinary catheter after TURP surgery may indicate bleeding complications that require immediate intervention and evaluation by the healthcare provider.
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Related Questions
Correct Answer is C
Explanation
A. Increasing fluid intake may not be necessary before TURP surgery and could lead to over-distension of the bladder, making catheterization difficult.
B. Limiting fluid intake is not recommended as the client needs adequate hydration before surgery to support the body's normal functions.
C. This is the correct answer. Emptying the bladder completely before TURP surgery helps reduce the risk of infection and prevents complications during the procedure.
D. Kegel exercises are beneficial for pelvic floor muscle strengthening but are not specifically required before TURP surgery.
Correct Answer is A
Explanation
A. This is the correct answer. Encouraging the client to perform pelvic floor exercises, also known as Kegel exercises, can help strengthen the pelvic floor muscles and improve urinary control after TURP surgery.
B. Applying a condom catheter may not address the underlying issue of urinary incontinence after TURP surgery. It is more appropriate for managing male urinary incontinence in other contexts.
C. Inserting an indwelling urinary catheter for continuous drainage is not the first-line intervention for urinary incontinence after TURP surgery. It may increase the risk of complications such as infection and should be used judiciously.
D. Administering an anticholinergic medication may be appropriate in some cases, but it is not
the primary intervention for urinary incontinence after TURP surgery. Pelvic floor exercises are a non-pharmacological approach to address the issue.
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