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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. This is the correct answer. Administering pain medication as prescribed by the healthcare provider is the most appropriate intervention to manage postoperative pain after TURP surgery.
B. Deep breathing exercises are helpful for preventing respiratory complications, but they may not be sufficient for managing postoperative pain.
C. Applying a heating pad to the surgical site is not recommended as it may increase the risk of bleeding and other complications.
D. While distractions can provide some comfort, they may not be enough to effectively manage postoperative pain. Pain medication is the primary intervention.
Correct Answer is A
Explanation
A. This is the correct answer. Bladder perforation is a significant complication that requires immediate attention. The nurse should inform the surgical team to address the situation promptly.
B. Notifying the client's family about the complication is not the immediate action. The priority is to inform the surgical team and manage the situation.
C. While documentation is essential, it is not the immediate action required in this critical situation.
D. Administering pain medication may be necessary, but the priority is to address the bladder perforation and involve the surgical team to manage the complication.
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