Final answer:
The first action a nurse should take when detecting an output obstruction in a continuous bladder irrigation system following a TURP is to check the irrigation tubing for kinks.
Step-by-step explanation:
Addressing Output Obstruction in Continuous Bladder Irrigation
For a client who has continuous bladder irrigation following transurethral resection of the prostate (TURP) and is experiencing output obstruction, the first action a nurse should take is C. Check the irrigation tubing for kinks. This step is critical because it is a straightforward and non-invasive intervention that can immediately resolve the problem if the obstruction is mechanical. If no kinks are found or if the issue persists after correcting any kinks, the nurse should then proceed with B. Notify the provider for further medical intervention. While A. Irrigate the catheter with normal saline may be necessary if blockage is due to blood clots or debris, it should not be done without first assessing for and fixing any kinks, which is a more common and easily rectified issue. As for D. Provide PRN pain medication, it should be administered as needed for pain management, but it does not address the immediate concern of relieving the obstruction.