Which of the following actions by the nurse would indicate the ...

[james]

Which of the following actions by the nurse would indicate the need for remedial education in the removal of an indwelling catheter?
 
  1. Draping the female client between the thighs
  2. Obtaining a specimen before removal
  3. Cutting the catheter to deflate the balloon
  4. Checking the client's output for 24 hours after removal

Question 2

A 3-year-old child is visiting the pediatric clinic. The nurse suspects that the child has a urinary tract infection. An appropriate method for the nurse to implement in order to obtain a urine specimen from the child is to:
 
  1. Use an indwelling catheter
  2. Offer fluids 30 minutes in advance
  3. Apply pressure over the urinary bladder
  4. Place a diaper on the child and squeeze out the specimen

[asware1]

Answer to Question 1

ANS: 3
The nurse should not cut the catheter to deflate the balloon. The nurse inserts an empty, sterile syringe into the injection port. The nurse slowly withdraws all of the solution to deflate the bal-loon totally. The nurse then pulls the catheter out smoothly and slowly. The nurse positions the client in the same position as during catheterization. The nurse places a towel between a female client's thighs or over a male client's thighs. Some institutions recommend collecting a sterile urine specimen before removal of the catheter or sending the catheter tip for culture and sensitiv-ity tests. The nurse should assess the client's urinary function by noting the first voiding after catheter removal and documenting the time.

Answer to Question 2

ANS: 2
Offering the young child fluids 30 minutes before requesting a specimen may help. Because bladder catheterization carries the risk for UTI, blockage, and trauma to the urethra, it is prefera-ble to rely on other measures for specimen collection. Applying pressure over the urinary bladder of a child with an intact nervous system will not help and may create more stress in the child. Squeezing urine from a child's diaper is not an accurate method of obtaining a urine specimen to determine whether the child has a urinary tract infection.

[james]

TYSM

[chereeb]

Excellent