Passage / Scenario

The following scenario applies to the next 1 items
The nurse in the medical-surgical unit is caring for a client following a transurethral resection of the prostate (TURP).
Item 1 of 1
NursesÔÇÖ Notes
1241: The client arrived at the medical-surgical unit six hours post-operative from a TURP. The client was alert and oriented to person, place, time, and situation. The client has a three-way indwelling urinary catheter and is continuously irrigated with isotonic saline. Urine output is ketchup-like with medium to large clots. The client reports the need to urinate and reported pressure in the pelvic region, described as spasms.

Intake and Output
Intake ÔÇô Continuous bladder irrigation: 550 mL
Output ÔÇô Indwelling catheter: 975 mL
Vital Signs
1257:
Blood Pressure 100/60 mm Hg
Temperature 98┬░ F (36.7┬░ C)
Heart rate 110/min
Respiratory rate 19 breaths per minute
Oxygen saturation 95% on room air