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.

Answer and Explanation

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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Correct Answer is B

Explanation

A) This response is not accurate. TURP is primarily performed for benign prostatic hyperplasia (BPH) or prostate enlargement and not for prostate cancer removal.

B) This is the correct answer. TURP is a surgical procedure that involves removing a portion of the prostate gland to alleviate urinary symptoms caused by BPH, such as urinary frequency, urgency, and difficulty in urination.

C) This statement is not accurate. TURP is a therapeutic procedure, not a diagnostic one.

D) This response is incorrect. TURP is a surgical procedure and does not involve catheter insertion for drainage.

A. Administer a pain reliever as ordered by the healthcare provider. B. Notify the healthcare provider immediately about the client's symptoms. C. Encourage the client to drink more fluids to dilute the urine. D. Instruct the client to perform deep breathing exercises to manage pain.

Correct Answer is B

Explanation

A. Administering pain relief may be necessary, but the nurse's first action should be to notify the healthcare provider about the client's severe pain and other concerning symptoms.

B. This is the correct answer. Severe lower abdominal pain, difficulty urinating, and the presence of blood clots in the urine may indicate postoperative complications after TURP. The nurse should notify the healthcare provider immediately for further evaluation and intervention.

C. Encouraging the client to drink more fluids may be helpful, but it is not the first action when the client experiences severe pain and other concerning symptoms.

D. Deep breathing exercises can help manage pain, but the nurse should first address the client's acute symptoms and notify the healthcare provider for appropriate intervention.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing preoperative education to a client scheduled for a Transurethral Resection of the Prostate (TURP). The client asks, "What is the purpose of this procedure?" Which response by the nurse is most appropriate?

Correct Answer is B

Explanation

A client who underwent a TURP reports severe lower abdominal pain and difficulty urinating. The nurse observes blood clots in the client's urine bag. What action should the nurse take first?

Correct Answer is B

Explanation

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