SOLVED1899
Initially, the nurse should assess the patient for shock symptoms, which include pale, clammy skin, weak pulse, low blood pressure, shallow breaths, and reduced consciousness. In addition, the nurse can assess for any indication of pain. Post-TURP procedure, it is expected to see a light pink color outflow. However, in this case, the patient is having red urine with multiple large, quarter to half dollar-sized clots, the nurse should increase the continuous bladder irrigation (CBI) to prevent further cloths and flush them out so urine can flow normally (Level Up RN, 2022). The nurse should also encourage the patient to drink plenty of fluids, which will help flush any blood or small blood clots out of the bladder. Furthermore, if there are signs and symptoms of catheter obstruction, the nurse will stop the CBI and irrigate using a large piston syringe (Level Up RN, 2022).
SCIENCE
HEALTH SCIENCE
NURSING
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