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RN Nursing · Renal and Urinary Assessment · Practice question

A nurse is assessing a client who is 2 days postoperative following a transurethral resection of the prostate and has an indwelling urinary catheter in place. Which of the following findings should the nurse expect?

Answer & explanation

Correct: Small clots with tissue in the urine

Following a transurethral resection of the prostate (TURP), it is normal and expected for the client to pass small clots with tissue fragments in the urine, particularly during the first several postoperative days. The prostate tissue that was resected leaves a raw wound bed, and small clots with tissue debris are a natural part of the healing process when continuous bladder irrigation is weaned. This finding should be anticipated and does not require urgent intervention beyond monitoring. Pain rated 8 out of 10 would be an unexpected and concerning finding; post-TURP discomfort is typically mild to moderate and well-controlled with analgesics. Dark red urine, rather than light pink or faintly bloody urine, would indicate active, significant bleeding and is not a normal postoperative expectation — urine should gradually lighten in color by day 2. A urinary output of 25 mL/hr falls below the acceptable minimum of 30 mL/hr, indicating inadequate renal perfusion or possible catheter obstruction, and would require immediate assessment. Therefore, small clots with tissue in the urine is the only finding the nurse should anticipate as a normal postoperative outcome following TURP.

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