A client who was discharged following a prostatectomy performed 6 days ago calls the clinic and reports passing some small blood clots and experiencing a decreased urinary stream. What is the nurse's best response?

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11ecbb05_ca82_4c17_b433_7119c1eb3e71_MD0009_00 A prostatectomy uses either minimally invasive or open surgical techniques to remove all or part of the prostate gland for clients with related disorders (eg, cancer, benign prostatic hyperplasia). For up to 36 hours after surgery, small blood clots may occur, although they should not impair the urine stream. Consistent passage of clots after this time could indicate a postoperative complication. Signs of such complications (eg, reduced urine stream, persistent bleeding/blood clots, urinary retention, fever, dysuria) after discharge should be evaluated by the health care provider for further treatment (Option A). (Option B) The presence of blood clots 6 days after surgery is not normal and may indicate bleeding from the prostatic fossa. This client requires further evaluation. (Option C) Clients should avoid the Valsalva maneuver for up to 8 weeks after prostatectomy because the exerted pressure may injure the healing tissue, causing hematuria. (Option D) Maintaining adequate fluid intake helps prevent blood clot formation. However, this client is reporting blood clots with a decreased urinary stream and needs further evaluation. Educational objective: Prostatectomy uses either minimally invasive or open surgical techniques to remove all or part of the prostate. Signs of complications (eg, reduced stream, persistent bleeding/blood clots, retention, fever, dysuria) after discharge should be evaluated by the health care provider for further treatment.

A Client Who Was Discharged Following a Prostatectomy Performed 6