MEDizzy - Which intervention should a nurse implement when caring for

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Comprehensive Nursing Exam - Two

Which intervention should a nurse implement when caring for a client immediately after a transurethral resection of the prostrate (TURP)?

ExplanationDuring the first 24 to 48 hours after prostatectomy, it is critical that the patency of the catheter be assessed and maintained. The risk of blood clots forming and obstructing the flow of urine is greatest dur- ing this time period. Parts of the gland are removed through a scope in- serted into the urethra. Therefore, an abdominal incision is not required. Blood clots are expected after prostate surgery for the first 24 to 36 hours, and thus there is no need to notify the surgeon of this development. Activi- ties that increase abdominal pressure such as sitting should be avoided as they predispose the client to increased bleeding.