Obtaining sample from catheter
What instruction would the nurse give the client before removing an indwelling urinary catheter?
"Take several slow, deep breaths."
A nurse is administering intermittent closed-catheter irrigation to a client. Place the following steps in the correct order. Use all options.
1)Cleanse the access port on the catheter with an antimicrobial swab. 2)Clamp or fold the catheter tubing below the access port. 3)Attach the syringe to the access port on the catheter using a twisting motion. 4)Gently instill solution into the catheter. 5)Remove the syringe from the access port. 6)Unclamp or unfold the tubing and allow the irrigant and urine to flow into the drainage bag.
The nurse is performing an irrigation of the client's catheter using a closed system. What should the nurse use to disinfect the aspiration port?
An antimicrobial swab.
The nurse is preparing to collect a urine specimen from a client's indwelling urinary catheter. Which technique should the nurse plan to use?
Attach a sterile syringe to the luer-lock sampling port on the catheter drainage tubing and withdraw urine.
The nurse is collecting a urine sample from an indwelling urinary catheter. Prior to cleaning the aspiration port, what would be the appropriate nursing action?
Bend the drainage tubing back on itself distal to the port.
The nurse is irrigating a client's urinary catheter using a closed system. What action would the nurse perform after cleansing the access port on the catheter?
Clamp or fold the catheter tubing below the access port.
The nurse receives a prescription to remove an indwelling urinary catheter from a client who is pregnant and on bed rest. The nurse should be sure to maintain which safety protocol when performing this procedure?
Clean technique.
When obtaining a urine specimen from an indwelling urinary catheter, the nurse places a label on the specimen container. How should the nurse check the information on the specimen label?
Compare it to the client identification band.
The nurse has finished collecting a urine specimen from the client's indwelling urinary catheter. What would the nurse do with the collected specimen to prepare it to be sent to the lab?
Empty the urine from the syringe into a specimen cup with a lid.
A client reports a burning sensation when urinating for the first time following the removal of an indwelling urinary catheter. In this situation, what would be the nurse's intervention?
Inform the client that this is normal for the first few voids.
When removing an indwelling urinary catheter from a client, the nurse prepares to deflate the catheter balloon. Which is the proper method for deflating the balloon?
Insert a syringe into the balloon inflation port and allow the water to come back by gravity.
A client with an indwelling urinary catheter has a PRN prescription for intermittent catheter irrigation. The nurse notices there is no urine coming out of the catheter and that the client is complaining of bladder pain and pressure. What might the nurse do to rectify this situation?
Irrigate the catheter with normal saline to restore patency.
The nurse is positioning a client for the removal of an indwelling urinary catheter. Where should the nurse stand during the procedure?
On the client's left side, if left handed.
The nurse irrigates an indwelling urinary catheter through a closed system. Why is this preferable to opening the catheter?
Opening the catheter can lead to contamination and infection.
When removing an indwelling urinary catheter from a client, the nurse notices resistance while attempting to pull out the catheter. What would be the immediate intervention in this situation?
Reattach the syringe to the port, aspirate again, and reattempt catheter removal.
When collecting a urine sample from the port of the client's catheter drainage tubing, the nurse inserts the syringe into the aspiration port, slowly aspirates enough urine for the specimen, and removes the syringe. What would be the nurse's next step?
Unclamp the drainage tubing.
The nurse clamps the catheter drainage tubing to collect a urine specimen from a client's indwelling urinary catheter. How long can the nurse leave the tubing clamped to obtain a sufficient amount of urine?
Up to 30 minutes
A nurse has just removed an indwelling catheter from a client. Which common complications of urinary function should the nurse monitor for in the client, after removal of an indwelling catheter? Select all that apply.
Urinary retention, Burning or irritation while voiding, Difficulty voiding
When obtaining a urine specimen from an indwelling urinary catheter, how would the nurse clean the aspiration port?
With an alcohol wipe
