The patient reports a sharp stabbing pain when the nurse inflates the balloon during insertion of an indwelling urinary catheter. What should the nurse do in response to the patient report of pain?
a. Deflate the balloon.
b. Remove the catheter.
c. Advance the catheter 2 inches.
d. Reassure the patient that it will pass.
A
The nurse deflates the balloon promptly because the balloon inflation precipitated the pain. The balloon is probably still in the urethra. It had not been inserted far enough into the patient. It is unnecessary to remove the catheter. After deflating the balloon, the nurse advances the catheter by 2 inches or more before attempting reinflation. The nurse can reassure the patient that the pain should pass and that pain management is available if the sensation persists.
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