An elderly client is hospitalized for transurethral resection of the prostate (TURP). Which finding postoperatively should be reported to the doctor immediately?
A. Hourly urinary output of 40–50 cc
B. Bright red urine output with many clots
C. Dark red urine output with few clots
D. Requests for pain med q 4 hrs.
Correct Answer: B. Bright red urine with many clots
Option B: Transurethral resection of the prostate (TURP) is a surgical procedure that involves the removal of a section of the prostate. It is indicated for people with an enlarged prostate. After the procedure, a urinary catheter with continuous bladder irrigation is done to remove and prevent blood clots in the bladder. Bright red bleeding with many clots may indicate the need to increase the rate of irrigation infusion per physician’s order.
Option A: A urine output measuring 40-50 cc is within normal limits.
Option C: Dark red urine with few clots is normal for a few days after surgery.
Option D: This does not indicate an excessive need for pain management that requires the doctor’s attention.