The nurse has been ordered to perform closed intermittent ...

[leo leo]

The nurse has been ordered to perform closed intermittent irrigation of a patient's indwelling urinary catheter. Which intervention is indicative of safe practice?
 
  a. Applies sterile gloves
  b. Instills 100 mL of irrigant
  c. Leaves the drainage tubing unclamped irrigation
  d. Determines the amount of urinary drainage by subtracting the amount of irrigant from the total output

Question 2

A patient is discharged and is sent home with enteral feedings. What instructions should the nurse give to the caregiver?
 
  a. Flush the tube out after administering medications.
  b. Keep the tube loose to allow for patient movement.
  c. Use sterile technique when preparing and administering feedings.
  d. Hang enough formula each time to cover 8 to 12 hours of feeding.

[Edwyer]

Answer to Question 1

D
Calculate the fluid used to irrigate the bladder and catheter, and subtract from the volume drained to determine accurate urinary output. Closed intermittent irrigation does not require the use of sterile gloves. The typical amount of irrigant used is 30 to 50 mL and the tubing is clamped during the process.

Answer to Question 2

A
Discuss flushing of the tube after administration of feedings or medications to prevent clogging. Discuss measures to stabilize the feeding tube in patients with abdominal tubes and to protect skin integrity. Perform hand hygiene to reduce the transfer of microorganisms. Sterile technique is not needed. Limiting the amount of formula hung at one time to an amount that can be infused in a 4- to 6-hour period will help limit bacterial growth.

[leo leo]

Thank you!

[Edwyer]

Always glad to help...