Difficulty: Medium
Average Score: 75%
Simulated
A nurse is caring for a client who is day post-op following a transurethral resection of the prostate (TURP) and has a continuous bladder irrigation in place. Which actions should the nurse take? (Select a that apply)
Correct answer
A,B,E
Rationale
Adding irrigation fluid to output ensures accurate fluid balance, bright red urine or clots require surgeon notification, and ensuring patent tubing prevents complications. Sterile technique is not required for irrigation solution, and a need to void may be normal unless severe.