Final answer:
The nurse should report blood in the urine immediately after a transurethral resection of the prostate, as it could indicate a hemorrhage requiring prompt medical attention.
Step-by-step explanation:
The student is asking which of the following findings should a nurse report immediately to a provider for a client who is 4 hours postoperative following a transurethral resection of the prostate with an indwelling urinary catheter: high blood pressure, nausea, blood in the urine, or elevated heart rate.
The correct answer is C) Blood in the urine. After a transurethral resection of the prostate, it is critical to monitor the urine for signs of bleeding. While it is not uncommon to have some blood-tinged urine immediately after the procedure, the presence of bright red blood or clots can indicate active hemorrhage, which is a medical emergency requiring immediate attention from the provider. Elevated heart rate and high blood pressure are important to monitor but are not as immediately concerning as hemorrhage. Nausea is a common postoperative symptom that should be managed but is not typically as urgent as bleeding.