The student nurse is attempting to irrigate an indwelling catheter. Which action best indicates that the student nurse accurately understands the correct procedure?
a. The student nurse irrigates using a steady, gentle stream.
b. The student nurse forces solution into the catheter to remove the obstruction.
c. The student nurse pulls back on the plun-ger if fluid will not enter the catheter.
d. The student nurse counts the amount of irrigation fluid as output.
A
When irrigating, use the correct amount of sterile solution (according to agency policy, or the amount of solution that may be determined by physician's order for nephrostomy tubes, ureteral tubes, or catheters). When irrigating, use a steady, gentle stream to irrigate. Avoid exerting pres-sure that may traumatize or cause discomfort. Do not pull back forcefully on an irrigating syringe attached to a urinary catheter or tube as this creates negative pressure that may damage delicate tissues. The amount of irrigation fluid is counted as intake, not output.
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