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Author Question: The nurse is caring for a client who returns to the unit following transurethral resection of the ... (Read 84 times)

cnetterville

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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


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asdfghjkl;

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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

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Reply 2 on: Jun 25, 2018
Thanks for the timely response, appreciate it

momolu

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Reply 3 on: Yesterday
Gracias!

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