Final answer:
After observing clear pale pink urine and slow infusion of continuous bladder irrigation post-TURP, the nurse should check for obstruction and adjust the flow rate to maintain a light pink output without clots. Continuous bladder irrigation is vital postoperatively to prevent clotting and hemorrhage, with careful monitoring for signs of UTI and other complications.
Step-by-step explanation:
In assessing a client twelve hours following transurethral resection of the prostate (TURP), if the nurse observes that the urinary drainage tubing contains a large amount of clear pale pink urine and the continuous bladder irrigation is infusing slowly, the nurse should first ensure that the tubing is not kinked or obstructed. Afterward, the nurse should adjust the flow rate of the irrigation fluid to maintain the desired color of output, which should be light pink without clots. Clear pale pink urine is an expected finding post-TURP, indicating that hemorrhage is controlled and the urine is being diluted by the irrigation fluid. However, if the urine becomes bright red or contains clots, the irrigation rate may need to be increased to clear the clots and alleviate any obstruction. Due to the risk of postoperative bleeding, continuous bladder irrigation helps to prevent clot formation and maintain catheter patency.
A urinary tract infection (UTI) could exacerbate bleeding, hence monitoring the color and clarity of the urine is also crucial for early detection of complications. The nurse should also regularly assess the client's vital signs, pain level, and bladder discomfort, as these can indicate complications such as infection or ongoing hemorrhage. Continuous patient education on the importance of adequate hydration and the potential signs of infection is instrumental in post-TURP care.