The nurse inserts an indwelling urinary catheter into the client's bladder and urine begins to drain; however, when the balloon is inflated, the client reports sharp stabbing pain. What should the nurse implement next?
1. Deflate the balloon.
2. Remove the catheter.
3. Advance catheter 2 inches.
4. Reassure client it will pass.
1
1. The nurse deflates the balloon promptly because the balloon inflation precipitated the pain, probably caused by balloon inflation while the balloon was in the urinary tract.
2. It is unnecessary to remove the catheter.
3. After deflating the balloon, the nurse advances the catheter by 2 inches or more before attempting reinflation.
4. The nurse can reassure the client that the pain should pass and that pain manage-ment is available if the sensation persists.
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