Order Bladder Irrigations Discussion Questions

Order Bladder Irrigations Discussion Questions
Order Bladder Irrigations Discussion Questions
0. A nurse is to perform a onetime bladder catheteriza31.
32.
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tion. The nurse verifies the primary health-care
provider’s order, washes the hands, and identifies the
patient. Place the following steps of the procedure in
the order in which they should be performed.
1. Don sterile gloves.
2. Lubricate the catheter tip.
3. Assess the patient for a latex allergy.
4. Unwrap the catheter kit creating a sterile field.
5. Advance the catheter 1 inch after urine begins
to flow.
6. Clean the urethral meatus with the solution
provided in the kit.
Answer:
A postoperative patient has an indwelling catheter
that has not drained urine in 3 hours. What should
the nurse do first?
1. Ask the primary health-care provider for an order
to irrigate the catheter.
2. Milk the tubing to dislodge any mucus or sediment in the catheter.
3, Palpate the patient’s suprapubic area to assess for
distention.
4. Recognize the patient’s status is within expected
limits.
A nurse is caring for a patient receiving continuous
bladder irrigation (CBI). Which nursing action is
essential when caring for this patient?
1. Check the volume of the patient’s output every
hour to ensure tube patency.
2. Increase the irrigation solution flow rate until the
return flow is pink and free from clots.
3. Irrigate the double-lumen catheter according to
the primary health-care provider’s orders.
Order Bladder Irrigations Discussion Questions
4, Turn the patient from side to side to promote output, which minimizes clot formation in the urine.
A primary health-care provider orders a 24-hour urine
test. Which actions should be implemented by the
nurse when conducting this test? Select all that apply.
1,1 Have the patient void one last time at
the end of the 24 hours and add it to
the volume being collected.
2.________ Have the patient void one last time at
the end of the 24 hours and discard
the urine.
3, Collect the first voiding and then
add the urine voided for the next
y 2A hours.
4,___ |“ ___ Discard the first voiding and then
collect the urine for the next
24 hours.
Store the collected urine for
24 hours in a large collection
container.
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