c. The normal saline irrigant is infusing at a rate of 50 drops/minute. of water if the detention time is 60 s? A traveling sine wave is the result of the superposition of two sine waves with equal amplitudes, wavelengths, and frequencies: y1=Asin(t+kx)y_1=A \sin (\omega t+k x)y1=Asin(t+kx) and y2=Asin(t+kx)y_2=A \sin (\omega t+k x-\phi)y2=Asin(t+kx). A certain uniform spring has spring constant k. Now the spring is cut in half. What I do is empty the foley bag each time an irrigation bag runs out. Continuous Bladder Irrigation (CBI) provides a continuous infusion of sterile solution into the. MCCONNELL, EDWINA A. RN, PHD, FRCNA. 2023 The Arena Media Brands, LLC and respective content providers on this website. Provide care instructions for patient discharged with indwelling catheter. The nurse is caring for a man who has returned to the unit from the recovery room following a transurethral resection of the prostate (TURP). Our members represent more than 60 professional nursing specialties. irrigating a nasogastric or another tube or the bladder, measure the amount instilled and subtract it from total output. (2015). Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. 7. Total output is the amount emptied from the collection bag. Enter your email address below and hit "Submit" to receive free email updates and nursing tips. 1-612-816-8773. Nasogastric tube output 480 mL It can be via various routes as well. b. Suprapubic prostatectomy The nurse is completing the intake/output record for a client who had an abdominal cholecystectomy 2 days ago. Create well-written care plans that meets your patient's health goals. Summary. Drain urine and other liquid from your body. HubPages is a registered trademark of The Arena Platform, Inc. Other product and company names shown may be trademarks of their respective owners. It has three ports (openings), each with a different function: Continuous bladder irrigation is usually performed by a nurse or urologist, a specialist in the urinary system. b. Both contain sterile saline (saltwater) and medication if needed. Our mission is to Empower, Unite, and Advance every nurse, student, and educator. Total output is the amount emptied from the collection bag. After having transurethral resection of the prostate (TURP), a Mr. Locke returns to the unit with a three-way indwelling urinary catheter and continuous closed bladder irrigation. I had 4 I&O questions on my state CNA exam. (Category II) (Key Question 2C) If obstruction is anticipated, closed continuous irrigation is suggested to prevent obstruction. Inform client brning and frequency may last for a week. Emesis. c. Prepare to remove the catheter. Bladder irrigation is a procedure that involves inserting fluid through a catheter into the bladder, then draining the fluid. After urinary surgery, many people have to pee through a catheter (a tube used as a drain). It cant be measured. If a patient vomits, I don't measure it - but I do chart "emesis basin x2" or however many times they vomited. Continued strict I&O. Foley catheter output 380 mL, Calculate the total output in mL for the following situation: The tubing may be put through a pump so that the speed of the fluid can be controlled. Describe the bonding in NO+,NO,\mathrm{NO}^{+}, \mathrm{NO}^{-},NO+,NO, and NO using both the localized electron and molecular orbital models. 7,752,060 and 8,719,052. Has 43 years experience. You can expect some discomfort with the catheter in place. I knew that bag had to be getting full. 3 Articles; Has 43 years experience. 0 & 0 The urine in the drainage bag appears red to pink. Suprapubic prostatectomy, retropubic prostatectomy, and transurethral laser incision of the prostate are less common procedures; they all require an incision. Therefore, you want to take that in account when assessing if the patient is at risk for fluid volume deficient OR fluid volume overload. Sometimes they will throw in a little trick, like also give you the amount of pudding the client consumed, to see if you are paying attention and reading the question carefully. Healthcare providers often use CBI to prevent or remove blood clots in the bladder after urinary surgery. 1/2 creamer. Our members represent more than 60 professional nursing specialties. a. The patient's intake in problem 2 was 3394 mL and if the patient's output is 2025 mL, the nurse should monitor the patient for fluid volume overload. Medical Student Curriculum: Bladder Drainage. EKG Rhythms | ECG Heart Rhythms Explained - Comprehensive NCLEX Review, Simple Anatomy Quiz Most Nurses Get WRONG! A=(1000),B=(0034),A=\left(\begin{array}{ll} Not included but needs to be considered is: insensible loss. Water = 6 o View the full answer Nasogastric tube output 480 mL first three months. Advertising on our site helps support our mission. Continuous bladder irrigation (CBI) is a medical procedure that flushes the bladder with sterile liquid. #shorts #anatomy, Nutrition supplements like Ensure or Boost , IV and central line fluids (TPN, lipids, blood products, medication infusion), Irrigants (example: irrigating a catheter.calculate the amount of irrigate delivered and subtract it from the total urine outputwhich will equal the urine output), Urine output (most of the output calculation). Injection Gone Wrong: Can You Spot The Mistakes? For the purposes of measuring fluid intake or calculating maintenance fluids (such as in a patient with a fluid restriction), no it is not counted. Specializes in Medsurg/ICU, Mental Health, Home Health. Bladder irrigation. Specializes in NICU, PICU, Transport, L&D, Hospice. Adjust the flow rate as ordered, or to maintain urine color as ordered by the physician. Coming to a Cleveland Clinic location?Hillcrest Cancer Center check-in changesCole Eye entrance closingVisitation, mask requirements and COVID-19 information, Notice of Intelligent Business Solutions data eventLearn more. The irrigation fluid is normal saline delivered at a rate of 150 ml/hr. Continuous bladder irrigation occurs over a few days. Since the amount of fluid used to irrigate come right back out, it does not effect the patient's hydration. Healthcare providers use it to prevent or remove blood clots after surgery in the urinary system. Foley catheter output 380 mL, Pharmacology: Chapter 41: Drugs Used to Treat, Julie S Snyder, Linda Lilley, Shelly Collins, Essentials of Strength Training and Conditioning, Medical Assisting Review: Passing The CMA, RMA, and CCMA Exams, Final Vogue - Milady state board review test. Is bladder irrigation part of patient's intake record? 3,377 Posts. The process happens over a few days. c. Assess the irrigation catheter for patency and drainage. It looked just like you describeda big, fat, ready-to-explode. Specializes in cardiac/medical. (I was changing her CBI bag every hour, thanks to whoever graduated the bath basins! You just keep a running tally of how much you empty, and once a . Which of the following observations, if made by the nurse, requires an intervention? Using PowerPoint, present your findings to your class in thermodynamics and lead a discussion of the findings. and chart in Bladder Irrigation Input field 3. (juice glass = 90 mL, coffee cup = 6 oz, creamer = 1 oz) INTAKE AND OUTPUT 1. D. He will be pain free. Encourage the client to drink fluids to dilute the urine and maintain urine output. Specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac. An online bank wants you to create a program that shows prospective customers So when you're looking at your total intake to see if the patient is staying adequately hydrated, you do not count the bladder irrigation. 3 & 4 Nursing. He is scheduled for a transurethral resection of the prostate (TURP). If a three way Foley catheter is not already in place, insert this now according to your facility's policy. In CNA class my class was told that the state of Illinois counts jello as part of intake, but if it has fruit in it, it is not counted for I&O. Check that the irrigation is flowing correctly, that the patient is not bleeding excessively, and that the patient's bladder is not distended. If not call doctor, he will probably give order for Ditropan or something like that. 1 1/2 cup coffee Can You Calculate Urine Output for CBI? By the time I got to his room I almost fainted when I saw that the regular foley bag was so full, it looked like a big fat cherry. 23. Well, it can be tricky, especially calculating intake because many students get confused on what to include, how to convert from ounces to milliliters, and how to interpret the calculation. After bladder irrigation, tell a healthcare provider if you experience any of the following when going to the bathroom: Continuous bladder irrigation (CBI) is a medical procedure that flushes the bladder with sterile liquid. Continuous bladder irrigation (CBI) is a medical procedure that flushes your bladder with a sterile liquid. Continued observations for hematuria. Published Mar 29, 2012. How to Calculate Continuous Bladder Irrigation CBI Output 3,789 views Premiered Sep 14, 2020 42 Dislike Share Save Tonia Evans 18 subscribers Show more Chat Replay is disabled for this Premiere.. Waste products (urea, ammonia, creatinine), Julie S Snyder, Linda Lilley, Shelly Collins, Medical Assisting: Administrative Procedures, Kathryn A Booth, Leesa Whicker, Terri D Wyman, Constituio da Republica Federativa do Brasi. Intake is the amount of irrigation solution allowed into the bladder. 2) expected due to the CBI; assess for shock and hemorrhage; check dressing and drainage; urine may be bright red for 12 h; monitor vital signs Discontinue irrigation and notify physician if obstruction occurs. z+2+5i21. I've never counted pudding as input, but I do count jello and it doesn't melt at room temperature? Assess the CBI a minimum of every two hours and as needed. An operation on your urinary system can cause blood clots, pieces of tissue or other debris to circulate. TPN infusion 850 mL left in 1460 mL TPN IV bag Do not let the irrigation bags run dry. The client underwent a transurethral resection of the prostate gland 24 hours ago and is on continuous bladder irrigation. In addition to inflating the balloon, the functions of the three lumens include: continuous inflow and outflow of irrigation solution. Since 1997, allnurses is trusted by nurses around the globe. Connect the GU irrigation tubing to the irrigation port of the three way catheter. After a transurethral resection of the prostate (TURP), a patient with continuous bladder irrigation complains of painful bladder spasms. 20,908 Posts. You may experience some discomfort with the catheter in place. Restrict fluids to prevent the client's bladder from becoming distended. Bladder irrigation prevents obstruction of the catheter after surgery. Bladder irrigation can either be continuous or intermittent. PrepU Ch 53: Assessment and Management of Pat, AP Psych Chapter 9- Social Psychology (Latest, Client Having Surgery:Perioperative - Lippinc. 101 Posts May 14, 2009 Do RNs declot temporary hemodialysis catheters. Normally you chart this hourly so say an IV infusion is set at 125 (1000 ml over 8 hours) so for each hour you record 125. [Hint: Use the trigonometric identity (Appendix A.7) for sin+sin\sin \alpha+\sin \betasin+sin to find y=y1+y2y=y_1+y_2y=y1+y2, and identify the new amplitude in terms of the original amplitude. c. Retropubic prostatectomy Basically any fluids that are going IN to the patient. If a medication is added to the solution, check the label placed by the licensed pharmacist against the doctor's orders to verify right patient, medication, strength, route, and time. Romeo Diaz, age 78, is admitted to the hospital with the diagnosis of benign prostatic hyperplasia (BPH). 1 cup applesauce And for Pete's sake, never drop one of those bags. show that AB=0A B=0AB=0 does not imply that either AAA or BBB is the zero matrix, but that it does imply that at least one of them is singular. Output includes-. It is nice to see that you got my comment in a good way!God bless you!VA:F [1.9.10_1130]please wait VA:F [1.9.10_1130](from 0 votes). Use aseptic technique when irrigating the catheter. However, there is a minimal risk of infection. 1. Bladder irrigation was 2000 mL. I appreciate your kind and greneous advice a lot!. Notify the physician immediately. (CBI is used after a trans-urethral resection of the prostate [TURP] and the irrigation serves to remove blood and clots.). It works by reducing inflammation and discomfort within the bladder. Registered Nurse, Free Care Plans, Free NCLEX Review, Nurse Salary, and much more. It would be inappropriate to include which of the following points in the preoperative teaching? Examples include bladder surgery or prostate surgery such as transurethral resection of the prostate (TURP). b. The procedure takes place in a hospital over several days. The patient has continuous bladder irrigation and a Foley catheter: 0800-1000: 3 Liters of bladder irrigation Nursing questions and answers. So - I agree that pudding shouldn't be counted as input, but I'm not sure about the reasoning of "because it doesn't melt at room temperature.". Input-output= true urine. She usually asks us nclex style questions. Hemovac wound drainage 12 oz The two component waves each have amplitude A=5.00cmA=5.00 \mathrm{~cm}A=5.00cm. b. What the patient pees out is also recorded. Get useful, helpful and relevant health + wellness information. B. xplain the purpose and function of a two-way irrigation system. When I was in school it went something like this You pt drank a 12 oz cup of juice and 8oz gingerale, ate 4 oz of jello, and had a 2 oz popcicle. There may be clots or sediment in output at first but if irrigation is running at a proper rate, this should clear up in a few hours. bladder. a combination drug therapy to help painful bladder or cystitis type symptoms including frequency, urgency, burning pain or stinging sensations when passing urine. For each question, choose the best answer. Bladder irrigation helps remove and prevent blood clots in your bladder. Oncology. Which action should the nurse take? A patient who has been recently diagnosed with benign prostatic hyperplasia (BPH) tells the nurse that he does not want to have a transurethral resection of the prostate (TURP) because he is afraid it might affect his ability to have intercourse. Output= volume of fluid coming OUT of the patient. Teach that ED is not a common complication following a TURP. Copyright Merative 2022 Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. Document procedure done and include urine color, level of hematuria, urine output, and patient's reaction. Bladder irrigation helps remove and prevent blood clots in your bladder. Medically reviewed by Drugs.com. I felt so stupid that i don't know how to fill up the chart.i should have ask, Our CBI lines are a y-line so we can hook up two 3000 bagsgoing into a 4000 drainage bag. Monitor for tissue, clots, mucous fragments, and sediment in the tubing and drainage collection unit. After TURP, urine normally appears red to pink, and normal saline irrigant usually is infused at a rate of 40 to 60 drops/minute or according to facility protocol. What was the most memorable reaction you had from a patient? Calculate the IV fluid intake in mL if 450 mL is left in a 1000 mL IV bag. It can be via various routes as well. These are fluids that LEAVE the body. Has 3 years experience. a. A catheter (thin tube) will be placed in your bladder. I beg to differ, if the intake of pudding is given it is part of intake because like it or not it will be excreted as output. Replace a bag of sterile saline when its empty. While the second bag is flowing, your healthcare provider will replace the first bag. Has a tapered tip and is selected for ease of insertion when enlargement of the prostate gland is suspected. Interest is compounded monthly. During your 12-hour shift from 7p - 7a, what is your patient's INTAKE and OUTPUT (see below)? By using the site you agree to our Privacy, Cookies, and Terms of Service Policies. Foley catheter ouput 625 mL, Calculate the total intake in mL for the following situation: The end of the catheter lies outside your body, along your upper leg. Calculate the total fluid output in mL for the following situation: Calculate the total intake in mL for the following situation. Remember to only calculate intake based on the things that melt at room temperature. Bladder irrigation was 2000 mL. The client has had the following intake/output during the shift. At the end of the shift, the catheter bag reads 2270 mL. I walked in on one running wide open at change of shift and thought the drainage bag was gonna blow! Clots can prevent urine from flowering properly through the catheter as well. Be careful not to pull on the catheter, let your nurse know if you feel pain or see fluid leaking from the catheter. Has 20 years experience. What should nurse Andrew do first? You'd have thought we'd slung a water hose around the room. This must only be done with specific doctor's orders. Ileostomy output 410 mL Transcribed image text: The client had the following intake and output during your shift: 1200 1.5 L of bladder irrigation 6 ounces of water 1300 8 ounces of chicken broth 1 pack of red blood cells (250 mL) 4 ounces of apple juice 2 L of bladder irrigation Emptied 4100 mL from Foley catheter 1400 20 ml IV flush 1.5 L of . Choosing a specialty can be a daunting task and we made it easier. 1/2 glass grape juice (Total output - intake = urine output.) It creates urine (pee) to get waste and extra fluid out of your body. To convert oz to mL, simply multiply the amount of oz by 30. Urine output is the difference between the two. Sterile solution enters the bladder through a thin tube, then the fluid is removed and collected in a bag. Choosing a specialty can be a daunting task and we made it easier. 1) CORRECT indicates pain; also, catheter is taped to thigh, and leg should be kept straight to maintain traction on the catheter Control the drip and flow of the sterile solution, speeding it up or slowing it down as needed. Does time dilation mean that time actually passes more slowly in moving reference frames or that it only seems to pass more slowly? Create well-written care plans that meets your patient's health goals. Figure out what went in. One time, I had to run the irrigation really fast- guy kept clotting up. Before continuous bladder irrigation, you must have a catheter placed in the bladder. The urine collects in your bladder and causes pain that gets worse as your bladder fills. Accurate measurement of fluid balance is important to determine the patient's urine output in the postoperative period, but also to observe for the onset of transurethral resection syndrome. What is intake? Paraphimosis, when the foreskin on an uncircumcised penis gets stuck. Last reviewed by a Cleveland Clinic medical professional on 03/16/2022. Used to drain urine from the renal pelvis of the kidney, Has multiple openings in its tip to facilitate intermittent drainage, Long and slender to pass into the ureters, Has a slanted, larger orifice at its tip to be used if there is blood in the urine. We just empty our drains when I&Os are due, and count this toward output. Always consult a medical provider for diagnosis and treatment. Nursing Care Related to the Gastrointestinal and Urinary Systems. Which action should the nurse take first? . Choosing a specialty can be a daunting task and we made it easier. Audrey Hunt from Pahrump NV on May 13, 2013: Well this is a procedure I've not heard about until now. I was helping someone else, and the bag hit the floor after it had been spiked (but we hadn't completed the hook up to the patient, we were just getting started). Edwina A. McConnell is an independent nurse-consultant in Gorham, Me. Inflate a balloon to keep your bladder open as the catheter is placed. One time, I had to run the irrigation really fast- guy kept clotting up. Specializes in Med nurse in med-surg., float, HH, and PDN. Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma. Which of the following nursing interventions is appropriate? vintagestudent Specializes in Just started in HH. The equipment may come in contact with germs on skin or in the air just before insertion. 1/2 carton milk, Calculate the fluid intake in mL for the following items. 4 Articles; Copyright 2023 RegisteredNurseRN.com. The irrigation fluid is normal saline delivered at a rate of 150 ml/hr. The healthcare provider will end continuous bladder irrigation once you have clear or only slightly pink urine for a day or two. Available for Android and iOS devices. Irrigation of catheter as outlined in #1 to aid in clot removal may be indicated. a. Nasogastric tube irrigation (four times with 30 mL saline) Third Party materials included herein protected under copyright law. After assessing catheter patency, the nurse should administer an analgesic, such as meperidine, as prescribed. Identify the region's population, economic base, natural resources, and potential demand for electricity. Otherwise, a physician quickly glancing through the chart will see the extra 500-1000 cc of fluid and assume it was oral/parenteral intake. A client who returns to the surgical floor after undergoing transurethral resection of the prostate complains of pain. This quick review will highlight how to calculate intake and output because these type of questions may be on your NCLEX exam or (definitely) on a nursing lecture exam. 22. 3.1.12.2 The irrigation solution bags to be labeled unless additives are being C. Expect bloody urine, which will clear as healing takes place. 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event. Specializes in NICU, PICU, Transport, L&D, Hospice. The head of the patient's bed is elevated 45 degrees, Strategy: "Requires an intervention" indicates a potential complication. The nurse is completing an intake and output record for a client who is receiving continuous bladder irrigation after transurethral resection of the prostate. The patient is in bed with his legs drawn up to his abdomen. from Foley catheter 6 ounces of soda 1 L of bladder irrigation 0800 1.5 L of bladder irrigation 0900 6 ounces of prune juice 4 ounces of vegetable broth 8 ounces of liquid meal supplement (ie. Tell the client to try to urinate around the catheter to remove blood clots. On the first day after surgery, the client reports bladder pain. Urinating around the catheter can cause painful bladder spasms. Empty drainage bag frequently to ensure no overflow or backflow of urine/irrigation solution. Calculate the fluid intake in mL for the following items. Specializes in Med nurse in med-surg., float, HH, and PDN. Create well-written care plans that meets your patient's health goals. An older man is returned to his hospital room three hours after a transurethral resection of the prostate (TURP). Many patients c/o discomfort and bladder spasms in first 24 hours, so pain med is approiate and also antispasmotic if ordered. The CBI intake and output were in equal amounts. Manually instill and then withdraw 50 mL of saline into the catheter. At the end of the shift the catheter bag reads 2270 mL. Join the nursing revolution. Specializes in orthopedic; Informatics, diabetes. Has 6 years experience. Patient complains of pain: (Complete pain assessment using the 0-10 or visual analogue scale) Palpate bladder to determine presence of distention Check drainage tubing for kinks Irwin, B., Yock, P., & Burckhardt, J. Hopefully there will be more in the foley than went in through irrigation and this will be the urine output. I took and passed my Illinois CNA exam back in August. Because it requires no incision, TURP is especially suitable for men with relatively minor prostatic enlargements and for those who are poor surgical risks. Jackson-Pratt wound drainage 3.5 oz Your program should read the initial balance and the Our bags are 3000ml so when a bag is done going in you empty your foley (or I have used a 24hr urine collection container if you have to empty the foley before the irrigation bag is empty,keep this urine in the jug until your irrigation bag is complete to keep your I&O organized). This website provides entertainment value only, not medical advice or nursing protocols. Very interesting! These are fluids that LEAVE the body. Assess catheter patency by measuring intake and output and presence of bladder spasms. Its inserted into the area where you pee. Soothe an irritated, infected or inflamed bladder lining. Of the total, _____ ml is urine output. If haematuria occurs it can be treated with good irrigation of the bladder and a high oral fluid intake, intravenously if needed. It seems like calculating I and Os is self-explanatory, right?! Each month, this department illustrates key clinical points for a common nursing procedure. CBI is generally very safe, but there are some rare complications: You wont need recovery time from the bladder irrigation procedure. d. Use aseptic technique when irrigating the catheter. Specializes in Emergency, Internal Medicine, Sports Med. How many milliliters of urine should the nurse record as output for her shift if the client received 1,800 ml of normal saline irrigating solution and the output in the urine drainage bag is 2,400 ml? The Urine would be 800, because you know the CBI bag was 3,000cc, so anything after 3,000 out is urine. View the full answer. Following transurethral resection of the prostate gland (TURP), hematuria should subside by what postoperative day? Tell him if fluid is leaking around your catheter. The nurse hangs a new 3000 mL bag of irrigating fluid for a postoperative client who has had a transurethral resection of the prostate and sets the irrigation rate based on: A client with benign prostatic hyperplasia (BPH) doesn't respond to medical treatment and is admitted to the facility for surgical intervention. Catheter blockage, which requires a healthcare provider to flush the tube or replace it. By the time I got to his room I almost fainted when I saw that the regular foley bag was so full, it looked like a big fat cherry. We do not endorse non-Cleveland Clinic products or services. 3000ml is recorded as CBI in and 3000ml of output is recorded as CBI out and whatever is left from your output ml's is recorded as urine output. All Rights Reserved. 3. I finally had a big enough fit and mgmt ordered the BIG foley bags (4,000 I think?) Privacy Policy|Advertising Policy|Privacy Preferences Center|Do Not Sell My Personal Information. It can be via various routes like the mouth, a tube, or intravenous (IV). Apr 1, 2012 For the purposes of measuring fluid intake or calculating maintenance fluids (such as in a patient with a fluid restriction), no it is not counted. Jejunostomy tube output 310 mL 1060 8. Has 14 years experience. Continuous Bladder Irrigation (CBI) provides a continuous infusion of sterile solution into the . Your urinary system is responsible for filtering waste out of your blood. According the Mosbys Medical Dictionary, insensible loss is estimated to be 600 mL/day (insensible water loss, 2018). 1 & 0 \\ I beg to differ: it's completely impossible! At the end of the shift the catheter bag reads 2270 mL. Tell your healthcare provider if you have bladder pain or your bladder feels full. Nursing questions and answers. The blood clots stop urine from flowing through your catheter. Our mission is to Empower, Unite, and Advance every nurse, student, and educator. Has a balloon near its tip that may be inflated after insertion, holding the catheter in the urinary bladder for continuous drainage. We didn't have a lecture on it, but does anyone know what she may be possibly talking about on calculating intake/output? Bladder instillation What do kidneys EXCRETE? The name itself explains what the process does but has some . I'm assuming we will be calculating but I'm not sure what she was talking about. The answer key is below. Select an underdeveloped region of the world with limited electrical power. If the patient is on bladder irrigation, you can count the amount of liquid put into the bladder here. A patient had a transuretheral resection of prostate (TURP) procedure done and he has a three way catheter. (Lewis et al., 2017, p. 1274) With CBI, irrigating solution is continuously infused and drained from the bladder. Let's say you're running at a brisk rate and you have to empty before a full bag is in. 1060 The nurse is completing the intake/output record for a client who had an abdominal cholecystectomy 2 days ago. 1 Article; a. Transurethral resection of the prostate (TURP) The nurse observes a decrease in urine output and clots in the urine. d. Transurethral laser incision of the prostate. Specializes in PICU, Sedation/Radiology, PACU. Nasogastric tube irrigation (four times with 30 mL saline)