The client underwent transurethral resection of the prostate and is on continuous bladder irrigation. Which nursing practice is appropriate?

• A. Tell the client to try to urinate around the catheter to remove blood clots.
• B. Restrict fluids to prevent bladder distention.
• C. Prepare to remove the catheter.
• D. Use aseptic technique when irrigating the catheter.

Answer: (D)

Maintaining a sterile technique during bladder irrigation after a transurethral resection of the prostate is essential. The irrigation is used to flush out blood and prevent clot formation in a catheter with continuous bladder irrigation. Using aseptic technique protects the sterile field and reduces the risk of introducing infection to the urinary tract and surrounding tissues, which is especially important when a catheter and irrigation system are in place.

Telling the client to urinate around the catheter isn’t appropriate because it can dislodge the catheter, irritate the bladder, and increase bleeding or clot formation. Restricting fluids isn’t correct because adequate hydration helps flush the bladder and reduce clot risk, while also supporting overall urinary function. Preparing to remove the catheter too early can lead to unresolved bleeding or urinary retention. So, the nursing practice that best supports safety and infection prevention during irrigation is to use aseptic technique.