A client is scheduled for a prostatectomy for benign prostatic hyperplasia (BPH). On the morning of surgery, the laboratory report on the client's urine indicates the presence of red blood cells, white blood cells, and bacteria
Which is the nurse's highest priority action? a. Document the report in the client's chart.
b. Insert a new Foley catheter before surgery.
c. Strain the client's urine.
d. Assess the client's vital signs and notify the health care provider.
D
The client may have a urinary tract infection. The nurse should obtain a set of vital signs and no-tify the provider of the laboratory results. Any surgery may need to be delayed if the client has infection. Documentation is needed after other actions have been taken. Inserting a catheter and straining the client's urine will not be beneficial.
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