A nurse is caring for a client who is at 34 weeks of gestation. Which of the following statements by the client is the nurse’s priority to report to the provider?

Choice A reason: Dark red urine signals active bleeding post-TURP, beyond expected light pink. It may indicate hemorrhage, requiring urgent provider intervention to prevent complications.

Choice B reason: 300 mL over 8 hr is adequate output post-TURP, not alarming. It aligns with expected bladder irrigation effects, needing no immediate report.

Choice C reason: Small clots are normal post-TURP as the prostate heals. Only large or persistent clots warrant concern, so this is an expected finding.

Choice D reason: Frequent urination urge is common post-TURP from bladder irritation. It’s not critical unless paired with obstruction, so it doesn’t need reporting.

Choice A reason: Social workers address psychosocial needs, not drug interactions. Medication queries require clinical expertise beyond their scope in this context.

Choice B reason: Advanced practice nurses have prescribing and pharmacology knowledge, ideal for assessing interactions. They’re the best referral for this clinical question.

Choice C reason: Patient care technicians assist with basic care, lacking drug interaction training. They can’t evaluate complex medication profiles adequately here.

Choice D reason: Psychologists focus on mental health, not pharmacokinetics. They lack the medical expertise to address physical drug interaction concerns effectively.