A nurse is reinforcing teaching with a client about the use of a condom to prevent transmission of sexually transmitted infections. Which of the following statements should be included in the teaching? (Select All that Apply.)

A. Continue routine care because the results are within the expected reference range: The client’s BUN (32 mg/dL) and hematocrit (50%) are elevated, indicating possible dehydration. Continuing routine care without further assessment could overlook fluid imbalance and kidney stress.

B. Evaluate urine output for amount and urine for specific gravity: Monitoring urine output and specific gravity helps assess kidney perfusion and hydration status. Elevated BUN and hematocrit suggest intravascular volume depletion, so assessing renal function and urine concentration is a critical next step to guide fluid therapy.

C. Decrease the IV fluid infusion rate and limit oral fluid intake: Reducing fluids in a client showing signs of dehydration would worsen intravascular volume deficit. The client requires careful monitoring and likely continuation or adjustment of IV fluids to restore adequate hydration.

D. Collect a urine specimen for culture and sensitivity: There is no indication of a urinary tract infection in the scenario. While urine testing is important in infection, it is not the priority action when signs point toward dehydration and volume depletion.

A. The client has bright red urine in his urinary catheter: Bright red urine indicates active bleeding, which can be a sign of hemorrhage following TURP. Prompt recognition and reporting are critical to prevent complications such as hypovolemic shock, making this the priority finding.

B. The client has small blood clots in his urinary catheter: Small clots are a common postoperative finding and often expected after TURP. While they should be monitored, they are not as immediately life-threatening as active bright red bleeding.

C. The client reports a continuous urge to void: This is a common complaint caused by the large (30 mL) balloon of the indwelling catheter resting on the bladder neck, which triggers the micturition reflex. While uncomfortable, it is an expected finding. The nurse should reassure the client and ensure the catheter is not kinked.

D. The client reports burning around the urinary catheter: Localized burning or discomfort is expected due to catheter irritation. It should be addressed for comfort but does not pose an immediate threat compared to active hemorrhage.