A patient who is receiving continuous bladder irrigation following a transurethral resection of the prostate (TURP) complains of "spasm-like" pain over his lower abdomen. What should the initial intervention be by the nurse?
a. Inform the nurse in charge
b. Decrease the continuous bladder irrigation flow
c. Administer the prescribed analgesic
d. Check the catheter and drainage system for obstruction
ANS: D
The patient who has a TURP may have continuous closed bladder irrigation or intermittent irrigation to prevent occlusion of the catheter with blood clots, which would cause bladder spasms.
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