On the first postoperative day, a patient with a TURP complains of abdominal pain and the bladder is greatly distended. The nurse should:
a. inform the charge nurse of this complica-tion.
b. irrigate the indwelling catheter with 20 to 30 mL of normal saline.
c. increase continuous bladder irrigation flow rate to flush out the clot.
d. turn the patient to the right side.
B
Additional irrigation will dislodge the clot that is occluding the catheter. Increasing continuous bladder irrigation will add fluid to the bladder and increase pain. It is within the primary care nurse's role to perform the intervention with notification of the charge nurse. There is no benefit from turning the patient to the right side.
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