Difficulty: Medium
Average Score: 67%
Simulated
A nurse is caring for a client who is 5 hours postoperative following a transurethral resection of the prostate (TURP). The nurse notes that the client's indwelling urinary catheter has not drained in the past 2 hours. Which actions should the nurse take FIRST?
Correct answer
C
Rationale
Checking the catheter for kinks is the first step, as a kink or obstruction is a common cause of inadequate drainage and can often resolve the issue without further intervention. Notifying the provider, irrigating the catheter, or adjusting irrigation rate are subsequent actions if needed.