Which of the following are indications for irrigating a urinary ...

[madam-professor]

Which of the following are indications for irrigating a urinary catheter? (Select all that apply.)
 
  a. Sediment occluding within the tubing
  b. Blood clots in the bladder following surgery
  c. Rupture of the catheter balloon
  d. Bladder infection
  e. Presence of renal calculi

Question 2

The nurse anticipates urinary diversion from the kidneys to a site other than the bladder for which patient?
 
  a. A 12-year-old female with severe abdominal trauma
  b. A 24-year-old male with severe genital warts around the urethra
  c. A 50-year-old male with recent prostatectomy
  d. A 75-year-old female with end-stage renal disease

[lou]

Answer to Question 1

ANS: A, B, D
Catheter irrigation is used to flush and remove blockage that may be impeding the catheter from properly draining the bladder. Irrigation is used to remove blood clots in the bladder following surgery. For patients with bladder infection, an antibiotic irrigation is often ordered. A ruptured catheter balloon will involve extensive follow-up and possible surgery to remove the particles. Renal calculi obstruct the ureters and therefore the flow of urine before it reaches the bladder.

Answer to Question 2

ANS: A
Urinary diversion would be needed in a patient with abdominal trauma who might have injury to the urinary system. Genital warts are not needed for urinary diversion. Patients with a prostatectomy may require intermittent catheterization after the procedure. End-stage renal disease would not be affected by rerouting the flow of urine.