Which of the following complications should the nurse watch for in a patient post-TURP?

After a Transurethral Resection of the Prostate (TURP), one of the primary complications to monitor for is excessive bleeding. TURP involves the surgical removal of prostate tissue, which can lead to bleeding due to the rich blood supply in the prostatic area. The procedure involves cutting and cauterizing blood vessels, and it is crucial for a nurse to assess for signs of bleeding, including changes in hemoglobin and hematocrit levels, urinary output, and the presence of blood in the urine. Hemorrhage can lead to significant complications if not promptly addressed.

The other options, while important to consider in a post-operative context, are not as directly associated with TURP. For instance, urinary retention can occur due to postoperative swelling or bladder spasms but is less acute and more about bladder functionality than immediate safety. Hypertension may arise from fluid overload or pain management but is typically not a primary concern post-TURP. Hyperkalemia relates to electrolyte imbalances that could occur for various reasons, but it is not a common complication of TURP itself. Thus, closely monitoring for excessive bleeding is vital to ensure the patient’s safety and recovery following the procedure.