A patient with an indwelling urinary catheter has no urine in the drainage bag for two hours and reports suprapubic discomfort. Which action should the nurse take first?
Correct answer: B. Check the tubing for kinks and dependent loops
- A. Irrigate the catheter routinely with sterile water
- B. Check the tubing for kinks and dependent loops
- C. Remove the catheter immediately without assessment
- D. Increase the patient’s fluid intake without checking the system
Explanation
A blocked or kinked drainage system is a common and correctable cause of absent urine flow. The nurse should first inspect the tubing, connections, and position of the drainage bag. Irrigation or removal should not be performed without an indication and appropriate orders.
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About Renal and Urological Nursing
Covers assessment and care for urinary tract infection, glomerulonephritis, nephrotic syndrome, acute kidney injury, chronic kidney disease, renal stones and urinary obstruction. The subject includes intake and output, urinalysis, fluid restriction, dialysis care and the difference between prerenal, intrinsic and postrenal kidney injury.
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