NCLEX-RN (Registered Nurse) Practice Exam · Question
A nurse is caring for a client with a continuous bladder irrigation post-TURP. The drainage in the collection bag is bright red with clots. What is the nurse's priority action?
Bright red drainage with clots indicates active bleeding. Increasing the irrigation rate helps to flush out clots and prevent obstruction.
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Question: A nurse is caring for a client with a continuous bladder irrigation post-TURP. The drainage in the collection bag is bright red with clots. What is the nurse's priority action?
Answer options: ✅ Increase the rate of the irrigation solution.
- Notify the primary healthcare provider immediately.
- Document the finding and continue to monitor.
- Decrease the rate of the irrigation solution.
Correct answer: Increase the rate of the irrigation solution.
Explanation: Bright red drainage with clots indicates active bleeding. Increasing the irrigation rate helps to flush out clots and prevent obstruction.
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