This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: The nurse is caring for a client who returns to the unit following transurethral resection of the ... (Read 78 times)

cnetterville

  • Hero Member
  • *****
  • Posts: 547
on: Jun 25, 2018
The nurse is caring for a client who returns to the unit following transurethral resection of the prostate due to prostate cancer with a three-way Foley catheter in place.
 
  The client states that he has the urge to urinate and wants the catheter removed. The nurse knows that this feeling is caused by spasms. Which response by the nurse is the most appropriate?
  A) This must be a complication, because the Foley catheter is supposed to evacuate clots that cause the sensation you are describing.
  B) The spasm is an unexpected finding because the procedure does not invade the urethra.
  C) The sensation is caused by the silicone used in the catheter. I will speak to the doctor about switching to a different catheter.
  D) This is an expected sensation, but the Foley catheter must remain in place.

Question 2

The nurse is caring for a client who has a continuous bladder irrigation running following a prostatectomy. During the shift, a total of 1500 mL of irrigant is infused.
 
  The Foley bag is emptied twice for the shift with totals of 850 mL and 950 mL. What is the client's actual urine output for the shift?
  A) 300 mL
  B) 250 mL
  C) 100 mL
  D) 950 mL


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

asdfghjkl;

  • Sr. Member
  • ****
  • Posts: 323
Reply #1 on: Jun 25, 2018
Answer to Question 1

Answer: D

Clients with a three-way Foley catheter usually complain of sensations of having to void despite the presence of the catheter. This urge to void is caused by the pressure exerted by the balloon in the internal sphincter of the bladder and the wide diameter of the catheter that is used for the purpose of irrigation. Antispasmodics may be prescribed for the client with a three-way irrigation catheter. Spasms are not a complication of the catheter but rather an expected finding. The procedure does invade the urethra. The substance that the catheter is made of does not affect spasms.

Answer to Question 2

Answer: A

The total infused is 1500 mL. The total drained is 1800 mL. The total, or true output, is 300mL greater than the input.


cnetterville

  • Member
  • Posts: 547
Reply 2 on: Jun 25, 2018
Wow, this really help

EAN94

  • Member
  • Posts: 307
Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

« previous next »
 

Did you know?

The types of cancer that alpha interferons are used to treat include hairy cell leukemia, melanoma, follicular non-Hodgkin's lymphoma, and AIDS-related Kaposi's sarcoma.

Did you know?

Patients who cannot swallow may receive nutrition via a parenteral route—usually, a catheter is inserted through the chest into a large vein going into the heart.

Did you know?

There are more nerve cells in one human brain than there are stars in the Milky Way.

Did you know?

Calcitonin is a naturally occurring hormone. In women who are at least 5 years beyond menopause, it slows bone loss and increases spinal bone density.

Did you know?

As of mid-2016, 18.2 million people were receiving advanced retroviral therapy (ART) worldwide. This represents between 43–50% of the 34–39.8 million people living with HIV.

Critical thinking involves analysis in which the nurse examines patient data available from a variet Critical thinking involves analysis in which the nurse examines patient data available from a variet
The nurse assesses the patient's ability to use the walker correctly The nurse assesses the patient's ability to use the walker correctly
Client position when assessing jugular vein distention. Client position when assessing jugular vein distention.
Transurethral resection of the prostate (TURP). Transurethral resection of the prostate (TURP).
This five-wire mass air flow sensor consists of a metal foil sensing unit, an intake air temperature ... This five-wire mass air flow sensor consists of a metal foil sensing unit, an intake air temperature ...
Measuring the client’s height with a platform scale Measuring the client’s height with a platform scale
Video: Cytotoxic T cell receptors, activation, proliferation, differentiation & action

For a complete list of videos, visit our video library