A Patient Undergoing a TURP Returns from Surgery with a Three-Way

question 26

Multiple Choice

A patient undergoing a TURP returns from surgery with a three-way Foley catheter with continuous bladder irrigation in place.Other postoperative orders include morphine 8 mg intravenous every 3 to 4 hours as needed for pain,belladonna and opium suppository every 4 hours as needed,and strict intake and output.The patient is complaining of painful bladder spasms,and the nurse observes blood-tinged urine on his sheets.What is the most appropriate nursing action?

• A) Administer the morphine.
• B) Warm the irrigation solution to body temperature.
• C) Administer the belladonna and opium suppository.
• D) Manually instill 50 mL of saline and try to remove clots.

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