A nurse is assisting a client when he is draining his new continent ileostomy. The catheter appears to be plugged with stool. Which of the following actions should the nurse take to rectify the problem?
A) Avoid milking the catheter.
B) Wait for 8 hours to obtain drainage.
C) Leave the catheter in place overnight.
D) Rotate the catheter tip inside the stoma.
D
Feedback:
When the catheter becomes plugged with stool or mucus, the nurse should try to rotate the catheter tip inside the stoma to clear the obstruction. The nurse could also try to milk the catheter in order to clear it. However, the nurse or client should not wait longer than 6 hours without obtaining drainage as it could lead to further complications. If all the above actions fail, the nurse should simply remove the catheter, rinse it, and try again. It would be inappropriate to leave the catheter in place overnight.
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