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References: Black, J., & Hawks, J. (2009). Medical-surgical nursing: Clinical management for positive outcomes (8th ed., pp. 1466, 1467). St. Louis: Saunders.Ignatavicius, D., & Workman, M. (2010). Medical-surgical nursing: Patient-centered collaborative care (6th ed., pp. 747-749). St. Louis: Saunders.Level of Cognitive Ability: AnalyzingClient Needs: Physiological IntegrityIntegrated Process: Nursing Process/AssessmentContent Area: Adult Health/Cardiovascular Awarded 0.0 points out of 1.0 possible points. 54.ID: 383720849A nurse is monitoring a client after transurethral resection of the prostate for benign prostatic hypertrophy. The client has a bladder irrigation infusing, and the urine output is a light cherry color. The nurse performs a follow-up assessment 1 hour later and notes that the urine output is now bright red in color with clots and that the client’s blood pressure has dropped. Which action by the nurse is appropriate?
Test-Taking Strategy: Use the process of elimination and focus on the data in the question. Recalling the normal postoperative findings after a transurethral resection and using your knowledge of concepts related to hypovolemic shock will direct you to the correct option. Noting the term “bright-red” will also help you answer correctly. Review the signs of complications after transurethral resection of the prostateif you had difficulty with this question.Reference: Ignatavicius, D., & Workman, M. (2010). Medical-surgical nursing: Patient-centered collaborative care (6th ed., p. 1718). St. Louis: Saunders.Level of Cognitive Ability: ApplyingClient Needs: Physiological IntegrityIntegrated Process: Nursing Process/ImplementationContent Area: Adult Health/Renal Awarded 0.0 points out of 1.0 possible points.