Author Question: When the balloon on an indwelling urinary catheter is inflated and the patient expresses discomfort, ... (Read 40 times)

jasdeep_brar · **on:** Jul 24, 2018

When the balloon on an indwelling urinary catheter is inflated and the patient expresses discomfort, it is essential for the nurse to take which action?

a. Remove the catheter.
b. Continue to blow up the balloon because discomfort is expected.
c. Aspirate the fluid from the balloon and advance the catheter.
d. Pull back on the catheter slightly to determine tension.

Question 2

What does the nurse teach the patient and caregiver to do when setting up and changing administration sets for continuous tube feedings to preserve medical asepsis?

a. Add formula to formula already hung to prevent waste.
b. Store unused formula at room temperature to prevent spasm.
c. Hang only enough formula that will be infused in a 4- to 6-hour period.
d. Change the administration set every 48 hours.

brittanywood · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

C
If resistance to inflation is noted, or if the patient complains of pain, the balloon may not be entirely within the bladder. Stop inflation, aspirate any fluid injected into the balloon, and advance the catheter a little farther before attempting again to inflate.

Answer to Question 2

C
Limit the amount of formula hung at one time to an amount that can be infused in a 4- to 6-hour period (less time in warmer weather to minimize risk for microorganism contamination). Do not add formula to a hanging bag. Using refrigeration and limiting hang time reduce microorganisms. Changing administration sets every 24 hours reduces microorganism growth.