Author Question: Which observation by the nurse best indicates that bladder irrigation for urinary retention has been ... (Read 52 times)

Melani1276 · **on:** Jul 23, 2018

Which observation by the nurse best indicates that bladder irrigation for urinary retention has been effective?

a. Recording an output that is larger than the amount instilled
b. Presence of blood clots or sediment in the drainage bag
c. Reduction in discomfort from bladder distention
d. Visualizing clear urinary catheter tubing

Question 2

Which nursing actions are acceptable when collecting a urine specimen? (Select all that apply.)

a. Growing urine cultures for up to 12 hours
b. Labeling all specimens with date, time, and initials
c. Wearing gown, gloves, and mask for all specimen handling
d. Allowing the patient adequate time and privacy to void
e. Squeezing urine from diapers into a urine specimen cup
f. Transporting specimens to the laboratory in a timely fashion
g. Placing a plastic bag over the child's urethra to catch urine

verrinzo · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: A
Recording an output that is greater than what was irrigated into the bladder shows progress that the bladder is draining urine. The other observations do not objectively measure the increase in urine output.

Answer to Question 2

ANS: B, D, F, G
All specimens should be labeled appropriately and processed in a timely fashion. Allow patients time and privacy to void. Children may have difficulty voiding; attaching a plastic bag gives the child more time and freedom to void. Urine cultures can take up to 48 hours to develop. Gown, gloves, and mask are not necessary for specimen handling unless otherwise indicated. Urine should not be squeezed from diapers.