What intervention should be included in the plan of care following a transurethral resection of the prostate?

Following a transurethral resection of the prostate (TURP), one of the most critical interventions is to irrigate the bladder using strict sterile technique. This procedure is performed to prevent blood clots and maintain patency in the urinary catheter, which may be placed post-surgery. Continuous bladder irrigation helps to dilute any blood that may be present in the urine and prevents obstruction from clots, which is a common concern after this type of surgery. Using sterile technique is crucial to reduce the risk of urinary tract infections and ensure patient safety.

Although administering pain medication, encouraging oral fluid intake, and performing daily weight checks are all important aspects of care post-surgery, they do not specifically address the immediate complications that can arise after a TURP. Pain management and monitoring fluid intake are generally necessary but are secondary to ensuring the bladder is adequately irrigated to avoid complications like clot retention or bladder spasms, which could lead to significant discomfort and further intervention.