How will the nurse document a bladder irrigation on the client's intake and output record?

a. by recording only the amount of irrigant instilled
b. by recording the amount of irrigant instilled and the amount of drainage measured
c. by recording only the amount of drainage
d. by measuring drainage before and after irrigation is completed


B
A three-way catheter is used to perform continuous bladder irrigation to allow inflation of the retention balloon, drainage of urine, and instillation of irrigation solution. The intake and output record is completed by recording the amount of irrigant instilled and the amount of drainage measured.

Nursing

You might also like to view...

A 24-year-old lactating woman asks about contraceptive options. The family planning clinic nurse recommends an oral contraceptive formulated with which ingredients?

A. Biphasic formulation B. Estrogen-progestin C. Progestin only D. Triphasic formulation

Nursing

How should you respond to the above patient?

A. Encourage her to finish her exercise session. B. Interrupt her and have her weighed immediately. C. Tell her she is not allowed to exercise. D. Interrupt her and encourage her to take a walk with you.

Nursing

The patient is receiving norepinephrine (Levophed). When monitoring the patient's blood pressure, the nurse notes a pressure of 230/120 mmHg. What is the priority nursing action?

1. Assess the patient for signs/symptoms of a stroke. 2. Notify the physician. 3. Slow the rate of the infusion until the physician assesses the patient. 4. Stop the infusion.

Nursing

Metabolism of drugs is affected by the reduced capacity of the ________.

Fill in the blank(s) with the appropriate word(s).

Nursing