The nurse assesses the patient who has received continuous bladder irrigation (CBI) therapy since a transurethral resection of the prostate (TURP) 24 hours ago. Which assessment is the priority to report?

Heart rate of 48 beats per minute. The patient with significant bradycardia is exhibiting signs of transurethral resection syndrome, which is life threatening and must be reported immediately. Frank blood in the urine should be reported but is less concerning than bradycardia. Although it would be preferred for the patient’s urine output to be greater than 1 ml/kg/h, this is not the most concerning assessment. A blood pressure of 156/94 mmHg is hypertensive, which is another sign of transurethral resection syndrome; however, the hypertension could be preexisting or due to pain.

The nurse assesses the patient who has received continuous bladde...

Category: Physiological Adaptation
Difficulty: 9

Topics: Assessment Cardiovascular Elimination Fluid and Electrolytes Hematology/Oncology Nursing Interventions Tissue Integrity

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