A 68-year-old male had a radical prostatectomy with a perine…
A 68-year-old male had a radical prostatectomy with a perineal resection due to a stage III cancerous tumor this morning. He is receiving continuous bladder irrigation (CBI) via a triple-lumen catheter with sterile normal saline; the orders are to infuse at a rate to keep the drainage light pink without clots. Twelve hours after the surgery, he reports having occasional bladder spasms, and currently his pain level is a “7” out of 10. The urine in the tubing is mostly clear, pink-tinged, with a rare clot noted. The perineal incision is dry and intact, with no drainage noted. Match the nursing actions listed below that are Indicated (appropriate or necessary), Contraindicated (could be harmful), or Nonessential (makes no difference or not necessary) for the patient’s care at this time.