Author Question: The nurse notes that a patient's indwelling urinary catheter tubing contains sediment and crusting ... (Read 58 times)

meagbuch · **on:** Jul 23, 2018

The nurse notes that a patient's indwelling urinary catheter tubing contains sediment and crusting at the meatus. Which action should the nurse take?

a. Notify the provider immediately.
b. Flush the catheter tubing with saline solution.
c. Replace the indwelling urinary catheter.
d. Encourage fluids that increase urine acidity.

Question 2

Which nursing diagnosis is most appropriate for the patient who returns from the postanesthesia care unit after undergoing right hemicolectomy surgery for colon cancer?

a. Acute Pain secondary to surgery
b. Acute Pain (abdominal) secondary to surgery for colon cancer
c. Chronic Pain secondary to cancer diagnosis
d. Chronic Pain (abdominal) secondary to abdominal surgery

coyin · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

C
The catheter needs to be changed when sediment collects in the tubing or catheter and crusting at the meatus occurs. It is not necessary to notify the provider immediately. The nurse should not flush the catheter tubing. The patient should be encouraged to consume fluids that increase urine acidity to prevent urinary tract infection; however, it will not help clear the catheter tubing of sediment.

Answer to Question 2

B
The nurse should identify a diagnosis by specifying the location of the pain and any precipitating or etiological factors. This patient is experiencing acute abdominal pain that is related to his surgery for colon cancer; therefore, nursing diagnosis that specifies the surgery is the most appropriate diagnosis for this patient. In addition, options listing chronic pain are incorrect because the pain is acute, not chronic.