The Nurse Is Caring for a Client Who Had a Transurethral

question 21

Multiple Choice

The nurse is caring for a client who had a transurethral resection of the prostate (TURP) and has a continuous bladder irrigation with symptoms of painful bladder spasms. The nurse observes a decrease in urine output and clots in the urine. Which of thefollowing actions should the nurse take first?

• A)Increase the flow rate of the bladder irrigation.
• B)Administer the prescribed IV morphine sulphate.
• C)Give the client the prescribed belladonna and opium suppository.
• D)Manually instill and then withdraw 50 mL of saline into the catheter.

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Definitions:

Angiotensin-Converting Enzyme

A key enzyme in the renin-angiotensin system, involved in regulating blood pressure by converting angiotensin I to the potent vasoconstrictor angiotensin II.

Hypertension

A chronic medical condition characterized by persistently elevated blood pressure in the arteries, leading to increased risk of heart disease, stroke, and other health issues.

Dizziness

A sensation of spinning or lightheadedness, which may result in a loss of balance.

Cardiopulmonary Resuscitation

An emergency procedure consisting of external chest compressions and artificial ventilation to manually preserve intact brain function until further measures to restore spontaneous blood circulation and breathing in a person who is in cardiac arrest.