Irrigating a Urinary Catheter

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Which instruction might the nurse give to nursing assistive personnel (NAP) helping to care for a patient receiving bladder irrigation?

A) "Tell me how he tolerates the irrigation." B) "Be sure to check for signs of a urinary tract infection." C) "Measure and report the patient's temperature to me every 4 hours." D) "Ask the patient about pain level." C) "Measure and report the patient's temperature to me every 4 hours."

Which action is most important in reducing the risk for infection in a patient receiving open intermittent irrigation of a urinary catheter?

A) Attaching the urinary drainage bag to the bed frame. B) Inspecting the drainage tubing for kinks. C) Disposing of contaminated items after the procedure. D) Cleaning the end of the drainage tubing with an antiseptic wipe before reconnecting it to the catheter. D) Cleaning the end of the drainage tubing with an antiseptic wipe before reconnecting it to the catheter.

Which action would the nurse take to minimize a patient's risk for injury during urinary catheter irrigation?

A) Change the tubing every 8 hours. B) Use slow, even pressure when injecting the irrigating fluid. C) Adhere to aseptic technique during the irrigation process. D) Monitor the patient's temperature every 4 hours. B) Use slow, even pressure when injecting the irrigating fluid.

During intermittent open bladder irrigation, a patient complains of pain. Which action would the nurse take first?

A) Examine the drainage tubing for clots, sediment, and kinks. B) Notify the health care provider. C) Leave the irrigation drip wide open. D) Monitor the patient's vital signs. A) Examine the drainage tubing for clots, sediment, and kinks.

Which action would the nurse take to manage continuous urinary catheter irrigation for a patient whose urine is bright red and contains clots?

A) Increase the irrigation drip rate. B) Notify the patient's health care provider of the blood and clots in the urine. C) Encourage the patient to increase fluid intake. D) Apply ice to the patient's lower abdominal area. A) Increase the irrigation drip rate.


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