A nurse is caring for a client receiving continuous bladder irrigation after a prostate resection who reports bladder spasms and decreased urine output. What should the nurse do?

In the scenario presented, the correct response involves irrigating the catheter with 0.9% sodium chloride. This action is appropriate because the patient is experiencing bladder spasms and decreased urine output, which may indicate a clot or debris obstructing the catheter. By performing a saline irrigation, the nurse can help clear any blockage that may be contributing to these symptoms, thereby improving urine flow and alleviating bladder spasms.

Continuous bladder irrigation after a prostate resection is typically used to prevent clot formation and maintain catheter patency. In instances where spams and decreased output occur, it's crucial to assess and intervene to ensure the catheter remains patent. Using sterile 0.9% sodium chloride for irrigation is a standard practice in such cases, as it helps in maintaining electrolyte balance and ensuring a safe, effective irrigation solution.

Other actions, such as administering pain medication, may provide temporary relief from discomfort but do not address the underlying issue of potential obstruction. Simply observing for further symptoms would not be appropriate if the client is already reporting significant concerns. Maintaining the existing irrigation rate might not resolve the issue if there's a blockage; thus, active intervention, such as irrigation, is necessary to ensure the effective management of the client’s condition.