Client is 2 hr postoperative transurethral resection of prostate (TURP). Drowsy but responds to verbal stimuli. Reports having the urge to urinate. Abdomen distended, slightly firm to palpitation. Bowel sounds absent in all four quadrants. Client remains NPO. IV sodium chloride 0.9% infusing at 100 mL/hr to the right forearm. Continuous bladder irrigation is patent and infusing slowly. Indwelling urinary catheter is patent with a small amount of dark burgundy urine with small clots present. Continuous bladder infusion rate increased. Lungs clear upon auscultation. Heart sounds are regular. No peripheral edema noted. In the last 2 hr, total intake is 1,200 mL and total output is 1,050 mL.
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[Solved]: Client is 2 hr postoperative transurethral resection…