Answer to Question 1
ANS: 3
The nurse should not cut the catheter to deflate the balloon. The nurse inserts an empty, sterile syringe into the injection port. The nurse slowly withdraws all of the solution to deflate the bal-loon totally. The nurse then pulls the catheter out smoothly and slowly. The nurse positions the client in the same position as during catheterization. The nurse places a towel between a female client's thighs or over a male client's thighs. Some institutions recommend collecting a sterile urine specimen before removal of the catheter or sending the catheter tip for culture and sensitiv-ity tests. The nurse should assess the client's urinary function by noting the first voiding after catheter removal and documenting the time.
Answer to Question 2
ANS: 2
Offering the young child fluids 30 minutes before requesting a specimen may help. Because bladder catheterization carries the risk for UTI, blockage, and trauma to the urethra, it is prefera-ble to rely on other measures for specimen collection. Applying pressure over the urinary bladder of a child with an intact nervous system will not help and may create more stress in the child. Squeezing urine from a child's diaper is not an accurate method of obtaining a urine specimen to determine whether the child has a urinary tract infection.
Nurse-patient interaction; nonveral communication
The nurse applies a pulse oximeter sensor on the client’s finger.
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