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This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Injection Gone Wrong: Can You Spot The Mistakes? By using the site you agree to our Privacy, Cookies, and Terms of Service Policies. Which action should the nurse take? Has a balloon near its tip that may be inflated after insertion, holding the catheter in the urinary bladder for continuous drainage. Which of the following observations, if made by the nurse, requires an intervention? Create well-written care plans that meets your patient's health goals. CBI can help prevent blood clots and flush them out so urine can flow normally. Hours later it will be sitting there (not melted). She usually asks us nclex style questions. Bladder irrigation can either be continuous or intermittent. Following discharge teaching for a patient who has had a transurethral resection of the prostate (TURP) for benign prostatic hyperplasia (BPH), the nurse determines that additional instruction is needed when the patient says, _______________, "I should call the doctor if I have any incontinence at home.". Answer C. Although postoperative pain is expected, the nurse should make sure that other factors, such as an obstructed irrigation catheter, aren't the cause of the pain. bladder. A certain uniform spring has spring constant k. Now the spring is cut in half. Is bladder irrigation part of patient's intake record? So let's say bag #1 has just finished going in, and you empty 3,800 out of the foley bag. The patient is in bed with his legs drawn up to his abdomen. Specializes in Med nurse in med-surg., float, HH, and PDN. INTAKE AND OUTPUT 1. When teaching a patient who is scheduled for a transurethral resection of the prostate (TURP) about continuous bladder irrigation, which information will the nurse include? Nursing Care Related to the Gastrointestinal and Urinary Systems. Bladder irrigation may be needed after bladder or prostate surgery. Policy. Which finding suggests that the client's catheter is occluded? 1 & 0 \\ Advertising on our site helps support our mission. The tubing may be put through a pump so that the speed of the fluid can be controlled. Privacy Policy|Advertising Policy|Privacy Preferences Center|Do Not Sell My Personal Information. The fluids will hang from an IV pole. Continuous bladder irrigation occurs over a few days. Let's say you're running at a brisk rate and you have to empty before a full bag is in. Hemovac wound drainage 12 oz I appreciate your kind and greneous advice a lot!. he client had the following intake and output during your shift: 0700 7 ounces of water 2 L of bladder irrigation Emptied 2150 mL from Foley catheter 0800 1 L of bladder irrigation 0.5 cups of cottage cheese 1 bagel 7 ounces of coffee with 1 ounce creamer 2 ounces of grits 0900 Emptied 2350. The problem is ensuring that everyone does it correctly. If you do not have surgery, the catheter will be placed while you are in bed. Has a tapered tip and is selected for ease of insertion when enlargement of the prostate gland is suspected. As with any other procedure, always use aseptic technique.