The nurse is caring for a patient from a long-term care facility who has a Foley catheter. The urine in the bag is dark yellow and has a cloudy appearance and a strong odor
According to the transfer sheet, the Foley was placed 5 weeks before the hospital admission. What should the nurse do? a. Contact the health care provider for an order to change the catheter and provide an update on the appearance of the urine.
b. Request an order for a urine for culture and sensitivity but do not change the catheter; the catheter can remain in place for another week per protocol.
c. Contact the health care provider for an order to remove the catheter.
d. Do nothing; the catheter can remain in place for another week per protocol.
A
For patients requiring long-term catheterization, catheter changes should be individualized, not routine. In many cases, catheters need to be changed every 4 to 6 weeks. Long-term catheters should be changed for leaking, blockage, and before obtaining a sterile specimen for urine culture. Long-term catheterization should be avoided because of its association with urinary tract infection. Make every attempt to remove catheters as soon as the patient can void.
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