A patient returns to the ward after surgery with an indwelling urinary catheter. The urine in the drainage bag is dark and the tubing is looped above the bladder. What should the nurse do first?
Correct answer: B. Straighten the tubing and check drainage
- A. Clamp the catheter for one hour
- B. Straighten the tubing and check drainage
- C. Disconnect the bag and irrigate routinely
- D. Raise the drainage bag above the bladder
Explanation
The tubing should be free of kinks and positioned below bladder level to allow dependent drainage. Obstructed drainage can cause bladder distention and inaccurate assessment of urine output, while routine irrigation is not indicated.
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About Perioperative Nursing
Covers preoperative assessment, informed consent, surgical preparation, anaesthesia, intraoperative safety and postoperative recovery. It includes sterile technique, surgical positioning, wound and drain care, pain and nausea management, fluid balance, prevention of infection and recognition of complications such as haemorrhage, atelectasis and shock.
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