The nurse caring for a 2-hour postoperative transurethral resection (TUR) immediately reports to the charge nurse the presence of large clots in the catheter and drainage bag. The nurse anticipates that the physician will:
1. instill ice water into the bladder.
2. decrease the amount of fluid in the balloon of the indwelling catheter.
3. apply traction to the catheter by taping it to thigh.
4. order a potent vasoconstrictor to reduce hemorrhage.
3
Application of traction to the catheter may reduce bleeding. An increase of fluid in the cath-eter balloon is also helpful, but ice water will do no better than the continuous bladder irri-gation that is already in place.
PTS: 1 DIF: Cognitive Level: Application REF: 1091
OBJ: 5 TOP: Transurethral Resection of the Prostate
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
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