A nurse notifies the provider immediately if a patient with an in-dwelling catheter does which of the following?
A)Complains of discomfort upon insertion of the catheter.
B)Places the drainage bag higher than the waist while ambulating.
C)Has not collected any urine in the drainage bag for 2 hours.
D)Is incontinent of stool and contaminates the external portion of the catheter.

Question

Quizplus · Accepted Answer

If the patient has not produced urine in 2 hours,the physician needs to be notified immediately because this could indicate renal failure.Discomfort upon catheter insertion is unpleasant but unavoidable.The nurse is responsible for maintaining the integrity of the catheter by ensuring that the drainage bag is below the patient's bladder.Stool left on the catheter can cause infection and should be removed as soon as it is noticed.The nurse should ensure that frequent perineal care is being provided.

A Nurse Notifies the Provider Immediately If a Patient with an In-Dwelling