A patient who has just returned from a transurethral resection of the prostate (TURP) asks the nurse why he needs a urinary catheter. What is the correct explanation?
a. "We can take the catheter out when you are able to urinate on your own. I'll ask the physician if we can remove it later today."
b. "The catheter is being used to irrigate your bladder with antibiotics. It is important to continue this until you can take antibiotics orally."
c. "The catheter keeps your bladder empty to reduce risk for infection. It is important to leave it in for at least 72 hours."
d. "The catheter is keeping pressure on the area to prevent bleeding. We will remove it when the risk for bleeding has passed."
ANS: D
As the tissue is removed during TURP, bleeding occurs. A Foley catheter is left in place with 30 to 60 mL of sterile water inflating the balloon. The balloon is overfilled and may be secured tightly to the leg or abdomen to tamponade (compress) the prostate area and stop the bleeding. Irrigation solution generally flows continuously; manual irrigation may be done for the first 24 hours to help maintain catheter patency by removing clots and chips. The health-care provider will remove the Foley catheter after the danger of hemorrhage has passed. Antibiotics are not routine.
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