When inserting a urinary catheter into a female patient, the catheter accidentally enters the vagina. What should the nurse do?
Correct answer: A. Leave it as a landmark and insert a new sterile catheter
- A. Leave it as a landmark and insert a new sterile catheter
- B. Remove it, clean the catheter, and use it again
- C. Advance it further and inflate the balloon in the vagina
- D. Withdraw it slightly and redirect the same catheter
Explanation
A catheter placed in the vagina is contaminated and should remain there as a landmark while a new sterile catheter is obtained. Reusing or redirecting the contaminated catheter increases the risk of introducing microorganisms into the urinary tract.
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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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