The nurse is initiating closed continuous bladder irrigation ...

[cabate]

The nurse is initiating closed continuous bladder irrigation using a three-way catheter. Prior to beginning the flow of the irrigation fluid, which action by the nurse is the most appropriate?
 
  1. Opening the roller clamp to the desired flow rate
  2. Emptying the urine collection bag
  3. Documenting the procedure
  4. Assessing the drainage for amount, color, and clarity

Question 2

Prior to applying the condom catheter, which action by the nurse is the most appropriate?
 
  1. Documenting the use of the catheter
  2. Inspecting and cleansing the penis
  3. Calling the health care provider to obtain an order
  4. Attaching the urinary drainage system securely

[taylorsonier]

Answer to Question 1

Correct Answer: 2

Prior to beginning irrigation, the nurse should empty the collection bag and record the output on the client's intake and output record. The roller clamp is opened when beginning irrigation, and the output drainage is then assessed for amount, color, and clarity. After initiating the procedure, the nurse documents the irrigation.

Answer to Question 2

Correct Answer: 2

The penis should be inspected and cleaned before applying the catheter, to minimize skin irritation and excoriation. Documentation would be performed after the catheter was applied. An order is not required for use of a condom catheter. The drainage system is applied after applying the condom catheter.

[cabate]

Excellent

[Kedrick2014]

Gracias!