After transurethral resection of the prostate, the nurse notices that the client’s urine is bright red, has numerous clots, and is viscous. Which nursing action is most appropriate?
1. Irrigate the catheter to remove clots.
2. Milk the catheter tube vigorously.
3. Increase the client’s fluid intake.
4. Assess vital signs and notify the surgeon.
Blood clots are normal after transurethral resection of the prostate, but bright red urine can indicate a hemorrhage. The nurse should assess the client’s vital signs and notify the surgeon. Irrigation of the catheter may help remove clots, but it does not decrease bleeding. Milking a urinary catheter or increasing fluid intake is not effective for controlling bleeding or decreasing clots.
CN: Reduction of risk potential; CL: Synthesize