A nurse is inserting a catheter into a female patient. When the nurse inserts the catheter, no urine is obtained. The nurse suspects the catheter is not in the urethra. What should the nurse do?
a. Throw the catheter way and begin again.
b. Fill the balloon with the recommended sterile water.
c. Remove the catheter, wipe with alcohol, and reinsert after lubrication.
d. Leave the catheter in the vagina as a landmark for insertion of a new, sterile catheter.
ANS: D
If no urine appears, the catheter may be in the vagina. If misplaced, leave the catheter in the vagina as a landmark to indicate where not to insert, and insert another sterile catheter. The catheter should be left in place until the new, sterile catheter is inserted. The balloon should not be filled since the catheter is in the vagina. The catheter must be sterile; using alcohol will not make the catheter sterile.
You might also like to view...
When a patient tearfully declares the use of relaxation techniques does not work for her, the nurse should:
a. give up on the idea. b. encourage the patient to try again. c. assure the patient that not everyone is successful. d. give the patient a sedative.
Which of the following assessment data will be most reflective of a client's pain response following open-heart surgery?
1. Family report of pain 2. Response from the client based on use of a pain tool 3. Observations of the client's behaviors while asleep 4. Measurement of vital signs
The Vulnerable Populations Concepts Model discusses three domains intrinsic to the model. Those domains are all of the following EXCEPT:
1. relative risk. 2. community perception. 3. resource availability. 4. health status.
A psychiatric nurse is sharing information with a patient and family about psychoeducational programs offered by the National Alliance on Mental Illness (NAMI). The nurse explains that which objective is the primary purpose of such programs?
a. Enhancing compliance with medication therapy b. Reducing hospital readmission rates c. Evaluating effectiveness of therapy d. Providing education and support