After prostate surgery with bladder irrigation, the drainage becomes much less than the irrigant infused and discomfort increases. What is the first concern?
- AObstructed outflow causing bladder distention
- BExpected bladder spasms that an antispasmodic will relieve
- CReduced urine production from dehydration
- DA need to increase the irrigation rate
Show answer and explanations
Answer
A
A
When drainage is much less than inflow and pain rises, clots are likely blocking outflow.
B
Spasms are common but do not explain the drainage deficit.
C
Drainage is mostly irrigant, so lower urine production cannot explain the imbalance.
D
Increasing inflow with a blocked outflow worsens distention.