Question

Q14. A patient underwent a transurethral resection of the prostate (TURP) and a three way Foley catheter was inserted with continuous bladder Irrigation (CBI) running. In which of the circumstances should the nurse increase the flow rate of the CBI?

A. When the drainage less than the CBI solution infused

B. When the drainage becomes bright red

C. When the drainage is continuous but at a slow rate

D. When the drainage becomes cloudy and dark yellow

Answer 1

Continuous bladder irrigation is an option for preventing the adverse events following transurethral resection of the prostate (TURP). Regulation of the flow rate based on the color of drainage bag is significant to prevent the clot formation and retention. Out put should not be less than the input. In case of decreased out put bladder rupture should suspect. If the drainage is continuous at a slower rate we can't increase the flow rate. In case of Yellow cloudy urine also not an indication to increase flow rate. So the answer is option B. If urine is more red there is a chance for clot formation. To prevent clot formation we have to increase flow rate.