Two hours postoperative following a transurethral resection of the prostate with continuous bladder irrigation, which intervention should the nurse include in care?

• A. Restrict fluids
• B. Monitor urinary output every 6 hr
• C. Weigh the client every evening
• D. Remind the client he might feel a constant urge to void

Answer: (D)

After a TURP with continuous bladder irrigation, the bladder is irritated from the instrumentation and the irrigation fluid, so bladder spasms and a sense of fullness are common. Reminding the patient that he may feel a constant urge to void helps him understand that this sensation is expected even though a catheter is in place. It reduces anxiety and promotes cooperation with the irrigation and catheter care, since the catheter is draining urine and irrigation fluid and actual voiding isn’t required while the catheter remains in place. If cramps are bothersome, assess the irrigation setup for patency and contact the team if you notice decreased urine output or increasing abdominal cramping, but the main teaching at this moment is reassuring him that this sensation is a normal part of recovery.