The Nurse is Preparing Continuous Bladder Irrigation Which of the Following Actions by the Nurse
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NCO Cath Post Test 5
Urinary Catherization Brandi Sizemore
| Question | Answer |
|---|---|
| A patient with a double-lumen urinary catheter has an order for closed intermittent catheter irrigation. The nurse performs hand hygiene, applies clean gloves, draws up 50 mL of room temperature irrigating solution into a sterile syringe, and places a ste | The nurse disconnected the drainage tubing from the catheter. |
| The patient is to have intermittent irrigation of a double-lumen urinary catheter. The patient asks why the nurse is kinking the drainage tubing and putting a rubber band on it. What is the nurse's best response? | This prevents the irrigating solution from going down into your drainage bag rather than into your bladder." |
| The nursing assistive personnel (NAP) reports the patient who is 1 day postoperative from bladder surgery is complaining of lower abdominal pain. The nurse palpates the patient's bladder and finds it is distended and there has not been any change in the a | Ensure there are no kinks in drainage tubing, and if none, notify health care provider for possible bladder irrigation order. |
| A patient returned from urological surgery with closed continuous bladder irrigation. The patient's vital signs are within normal limits. The patient's wife voices concern regarding the "bloody-red" appearance of the drainage. What is the nurse's best res | "This is normal at this time; the drainage will become lighter and appear blood tinged in 2 to 3 days." |
| The nurse is preparing continuous bladder irrigation. Which of the following actions by the nurse would be appropriate? (Select all that apply.) | Performing hand hygiene and donning clean gloves. Priming the infusion tubing with irrigating solution. Calculating urinary output as the amount of irrigant infused subtracted from the Monitoring and emptying the drainage bag as needed. |
| A nurse is performing preoperative teaching for a patient who is having urological surgery. The nurse informs the patient he will likely require closed bladder irrigation following the surgery. The patient asks what the purpose is for bladder irrigation. | - "Bladder irrigation may be used to instill medication into the bladder." - "Irrigating the bladder prevents any clots or sediment from blocking urinary drainage." |
| The nurse is caring for a patient with continuous bladder irrigation after urological surgery. Which of the following would be appropriate actions for the nursing assistive personnel? | Report patient complaints of lower abdominal pain to the nurse. |
| If clots are present in a patient's urinary output, the rate of infusion of irrigating solution or frequency of intermittent catheter irrigation should be increased. | True |
| Closed catheter irrigation may be performed with a single- or double-lumen urinary catheter. | False |
| The output in the urinary catheter drainage bag should not exceed the amount of irrigant infused during closed catheter irrigation | False |
| The nurse is caring for a patient on the first postoperative day after urological surgery. The patient has continuous bladder irrigation. Which of the following would be cause for concern? | Patient complaints of bladder spasms. |
| A nursing instructor is reviewing how to perform closed urinary catheter irrigation with a group of nursing students. Which of the following are accurate statements indicating learning has occurred? (Select all that apply.) | "If the urine appears bright red or has clots, the irrigation rate should be increased until the drainage appears pink." "I should check on the patient frequently and empty the catheter drainage bag as needed." "Priming the tubing with irrigation soluti |
| A patient had 2300 mL of irrigating solution instilled in the past 24 hours for continuous bladder irrigation. The amount of drainage measured was 3850 mL. What would be an accurate evaluation of this data? | The patient had 1550 mL urine output in the past 24 hours. |
| The nurse is caring for a patient receiving closed continuous bladder irrigation. The nurse knows to monitor the patient for clots in the tubing. Which of the following problems could be caused by clots in the drainage tubing? (Select all that apply.) | Irrigation solution does not flow at prescribed rate. Patient complains of pain with irrigation. Drainage output is less than amount of irrigation solution infused. |
Source: https://www.studystack.com/flashcard-3460677
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