A patient with an indwelling urinary catheter has no urine in the drainage bag for 2 hours and reports bladder discomfort. What should the nurse do first?
Correct answer: A. Check the tubing for kinks and dependent loops
- A. Check the tubing for kinks and dependent loops
- B. Remove the catheter and insert another one
- C. Irrigate the catheter with sterile water immediately
- D. Restrict the patient's oral fluids until review
Explanation
The nurse first checks for simple mechanical obstruction, such as a kinked tube or a dependent loop. Removing or irrigating the catheter without an order can cause trauma or infection, and restricting fluids does not correct obstruction.
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About Elimination and Catheterisation
Elimination care covers normal bowel and urinary patterns, constipation, diarrhoea, incontinence, retention, enemas, ostomies and specimen collection. Catheterisation includes indications, catheter types, insertion principles, drainage-bag care and prevention of urinary infection, with attention to the difference between urinary retention and incontinence.
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