The wife of a patient who has just returned to the unit after a TURP is alarmed about the blood clots and pieces of tissue returning in the indwelling catheter bag. The nurse's best response is:
a. "Don't worry. All these patients bleed. It's no big deal."
b. "Blood clots and tissue are expected for the first few days."
c. "I'll notify the surgeon immediately. He will be able to stop this hemorrhage."
d. "Bleeding will completely clear up in about 8 hours."
B
Honest answers about expected blood and clots will alleviate anxiety. The presence of blood clots in the urinary collection is anticipated and normal. Telling the patient that the loss of blood is no big deal trivializes the occurrence and is not therapeutic. There is no indication that the pa-tient is hemorrhaging. Bleeding is anticipated for the first few days after surgery. The bleeding is not limited to only 8 hours after the procedure.
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