29. The spouse of a client who had a transurethral resection of the prostate (TURP) 24 hours ago is upset because the irrigation seems to be increasing the client's pain. Which is the best response by a nurse?
29. The spouse of a client who had a transurethral resection of the prostate (TURP) 24 hours ago is upset because the irrigation seems to be increasing the client's pain. Which is the best response by a nurse?
. "I will stop the bladder irrigation and the pain should subside."
. "I will add a local anesthetic to the irrigant to treat the pain."
. "Perhaps you should go home and get some rest."
. "The rate of the irrigant can be slowed when the drainage is pale pink."
Test-Taking Tip
Choose the answer that gives information to reduce anxiety.
Content Area: Adult Health, Genitourinary; Integrated Process: Communication and Documentation; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Reduction of Risk Potential/Potential for Complications of Diagnostic Tests/Treatments/Procedures
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Answer 1 is incorrect because the nurse cannot stop the irrigation without an order. Answer 2 is incorrect because the nurse does not have the authority to add an anesthetic. The pain is likely from spasms, which are treated with belladonna or opiate suppositories. Answer 3 is incorrect because the response does not address the spouse's concern. Answer 4 is correct because the purpose of the irrigant is to prevent clots. A pale pink would indicate that bleeding is diminishing.