Author Question: The patient has a catheter that must be irrigated. The nurse is using a needleless closed irrigation ... (Read 49 times)

MGLQZ · **on:** Jul 22, 2018

The patient has a catheter that must be irrigated. The nurse is using a needleless closed irrigation technique. In which order will the nurse perform the steps, starting with the first one?

1. Clean injection port.
2. Inject prescribed solution.
3. Twist needleless syringe into port.
4. Remove clamp and allow to drain.
5. Clamp catheter just below specimen port.
6. Draw up prescribed amount of sterile solution ordered.
a. 3, 2, 6, 1, 5, 4
b. 5, 6, 1, 2, 3, 4
c. 1, 5, 6, 3, 2, 4
d. 6, 5, 1, 3, 2, 4

Question 2

While receiving a shift report on a patient, the nurse is informed that the patient has urinary incontinence. Upon assessment, which finding will the nurse expect?

a. An indwelling Foley catheter
b. Reddened irritated skin on buttocks
c. Tiny blood clots in the patient's urine
d. Foul-smelling discharge indicative of infection

itsakadoozi · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

ANS: D
The steps for irrigating with a needleless closed irrigation technique is as follows: Draw up in a syringe the prescribed amount of medication or sterile solution; clamp indwelling retention catheter just below specimen port; using circular motion, clean injection port with antiseptic swab; insert tip of needleless syringe using twisting motion into irrigation port; slowly and evenly inject fluid into catheter and bladder; and withdraw syringe, remove clamp, and allow solution to drain into drainage bag.

Answer to Question 2

ANS: B
Urinary incontinence is uncontrolled urinary elimination; if the urine has prolonged contact with the skin, skin breakdown can occur. An indwelling Foley catheter is a solution for urine retention. Blood clots and foul-smelling discharge are often signs of infection.