The nurse is caring for a patient who had a prostatectomy and is now having bladder spasms. What actions should the nurse take?
Select all that apply.
1. Administer belladonna and opium (B&O) suppositories as prescribed.
2. Check to see if the urinary catheter is draining.
3. Ask the patient if he feels the need to have a bowel movement.
4. Increase the rate of flow of urinary catheter irrigation solution.
5. Assess the patient's temperature.
Correct Answer: 1, 2, 3
Bladder spasms are one of the three types of pain following prostatectomy, and belladonna and opium (B&O) suppositories may be used to relieve bladder spasms. The presence of a urinary catheter will stimulate the urge to void and bladder spasms. If the catheter becomes kinked and urine fills the bladder, the patient may feel the urge to void and strain, which induces spasms. Straining to have a bowel movement may stimulate bladder spasms. Increasing the flow rate of urinary catheter irrigation solution will have no effect on bladder spasms. Assessing the patient's temperature is important but not related to bladder spasm.
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