After having transurethral resection of the prostate (TURP), a Mr. Locke returns to the unit with a three-way indwelling urinary catheter and continuous closed bladder irrigation. Which finding suggests that the client’s catheter is occluded?
a. The urine in the drainage bag appears red to pink.
b. The client reports bladder spasms and the urge to void.
c. The normal saline irrigant is infusing at a rate of 50 drops/minute.
d. About 1,000 ml of irrigant have been instilled; 1,200 ml of drainage have been returned.
Answer B.
Reports of bladder spasms and the urge to void suggest that a blood clot may be occluding the catheter. After TURP, urine normally appears red to pink, and normal saline irrigant usually is infused at a rate of 40 to 60 drops/minute or according to facility protocol. The amount of returned fluid (1,200 ml) should correspond to the amount of instilled fluid, plus the client’s urine output (1,000 ml + 200 ml), which reflects catheter patency.
a. The urine in the drainage bag appears red to pink.
b. The client reports bladder spasms and the urge to void.
c. The normal saline irrigant is infusing at a rate of 50 drops/minute.
d. About 1,000 ml of irrigant have been instilled; 1,200 ml of drainage have been returned.
Answer B.
Reports of bladder spasms and the urge to void suggest that a blood clot may be occluding the catheter. After TURP, urine normally appears red to pink, and normal saline irrigant usually is infused at a rate of 40 to 60 drops/minute or according to facility protocol. The amount of returned fluid (1,200 ml) should correspond to the amount of instilled fluid, plus the client’s urine output (1,000 ml + 200 ml), which reflects catheter patency.
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Genitourinary