The nurse assesses the client's suprapubic catheter. Which warrants further investigation by the nurse?
1. The catheter does not drain urine continuously.
2. The catheter remains in the stoma at all times.
3. The client's urine is dark yellow and without odor.
4. The client urinates a small volume from the urethra.
1
1. The nurse expects the suprapubic urinary catheter to drain urine continuously and, if the flow decreases or stops, the nurse suspects an obstruction or adherence of the catheter against the bladder wall. Regardless of the cause, the nurse investigates in-terrupted flow of urine to prevent infection, tissue trauma, and client discomfort.
2, 3, and 4. The nurse expects the suprapubic catheter to stay in the stoma, the urine to be yellow and odorless, and the client to urinate a small volume from the urethra.
You might also like to view...
Orem says that self-care ability is affected by a number of factors, including:
a. Ethnicity, age, and gender. b. Age, gender, and developmental stage. c. Age, developmental stage, health, and environment. d. Health, environment, age, and gender.
One of the symptoms seen in patients who have Alzheimer's disease is confabulation. Confabulation is best described as:
A) Forgetfulness B) Low self-esteem C) Making up a story to fill gaps in memory D) Teasing behavior
Each generation brings its own set of values, expectations, and outlooks on life to the realm of nursing. Which generation is the most likely to bring the greater technology expertise into client care?
A) Baby boomers B) Generation X C) Veteran generation D) Generation Y
Which food service system would you use if you were concerned with increased labor costs in your area?
a. commissary b. ready prepared c. conventional d. none of these