A client recovering from a transurethral resection of the prostate (TU

A client recovering from a transurethral resection of the prostate (TURP) with a three-way indwelling catheter expresses the need to urinate. Which action should the nurse take to help this client?

1. Deflate and then reinflate the balloon.
2. Irrigate the catheter.
3. Reposition the catheter.
4. Retape the catheter to the abdomen.

ANSWER

Correct Answer: 2
Rationale 1: Deflating and reinflating the balloon is not an option. The surgeon knows how much pressure is needed to control bleeding after surgery.
Rationale 2: Blood clots give the client the sensation to urinate when they obstruct the urine outflow; therefore, irrigation will have to remedy the problem.
Rationale 3: Repositioning the catheter would not be an option right after surgery.
Rationale 4: The catheter is usually taped to the client’s leg after a TURP and is not to be manipulated. This also controls bleeding after surgery.