Question

46 of 50 a client is admitted to the surgical nursing unit following transurethral resection of the prostate (turp) for benign prostatic hypertrophy. the client has a bladder irrigation infusing, and output is light cherry colored. the blood pressure is 134/82 mm hg, the pulse is 84 beats per minute, and the client is afebrile with a respiratory rate of 18 breaths per minute. the licensed practical nurse (lpn) assisting in caring for the client collects assessment data 1 hour after admission to the nursing unit. the lpn notifies the registered nurse (rn) if which is noted on data collection? rationale, strategy, reference, tip answer options 1 red urine 2 pain related to bladder spasms 3 urinary output of 200 ml greater than intake 4 blood pressure of 102/50 mm hg, pulse 110 beats per minute

Explanation:

After a transurethral resection of the prostate (TURP), a significant change in vital - signs such as a drop in blood pressure (from 134/82 mmHg to 102/50 mmHg) and an increase in pulse rate (from 84 beats per minute to 110 beats per minute) may indicate bleeding or other serious complications and should be immediately reported to the registered nurse. Red urine is expected post - TURP, bladder spasms are common and can cause pain, and a slightly higher urinary output than intake is not as concerning as a change in vital signs.

Answer:

1. Blood pressure of 102/50 mm Hg, pulse 110 beats per minute