How much urine is too much to drain at one time when a new insertion of a foley catheter is done?

300-450 ml

450-600 ml

750-1000 ml

200-500 ml

Answer and Explanation

The Correct Answer is C

A. 300–450 mL:
This amount is acceptable to drain at one time. It is not considered excessive or dangerous.

B. 450–600 mL:
This is within a safe limit and does not pose risk for bladder spasms or hypotension.

C. 750–1000 mL:
Draining more than 750–1000 mL at once can lead to bladder spasms, hypotension, and hematuria due to rapid decompression of a distended bladder. This is too much to drain at once.

D. 200–500 mL:
This range is considered a safe and appropriate amount to drain in one go for most patients.

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Correct Answer is C

Explanation

A. Emptying the drainage bag when half full:
This helps prevent backflow and tension on the catheter. It is an appropriate action.

B. Kinking the catheter tubing to obtain a urine specimen:
While not ideal, temporary kinking (with care) may be done to collect a specimen. This is not the worst safety breach.

C. Placing the drainage bag on the side rail of the patient's bed:
The bag must be kept below bladder level to prevent reflux and infection. Side rails can move, leading to unsafe positioning.

D. Securing the catheter tubing to the patient's thigh:
Properly securing the catheter prevents traction and reduces the risk of injury or dislodgement.

A. Clean injection port. B. Inject prescribed solution. C. Twist needleless syringe into port. D. Remove clamp and allow to drain. E. Clamp catheter just below specimen port. F. Draw up prescribed amount of sterile solution ordered.

Correct Answer is F,E,A,C,B,D

Explanation

1. Clean injection port:
This is done after clamping and before connecting the syringe to prevent introducing infection.

2. Inject prescribed solution:
Done only after the syringe is connected to the port.

3. Twist needleless syringe into port:
This ensures a secure and sterile connection before irrigation.

4. Remove clamp and allow to drain:
This step ensures the irrigant and urine can flow out properly after irrigation.

5. Clamp catheter just below specimen port:
Done early to allow retention of solution during irrigation and prevent backflow.

6. Draw up prescribed amount of sterile solution ordered:
First step—preparing the exact amount of irrigation fluid needed.

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How much urine is too much to drain at one time when a new insertion of a foley catheter is done?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is evaluating a nursing assistive personnel's (AP) care for a patient with an indwelling catheter. Which action by the AP will cause the nurse to intervene?

Correct Answer is C

Explanation

The patient has a catheter that must be irrigated. The nurse is using a needleless closed irrigation technique. In which order will the nurse perform the steps, starting with the first one?

Correct Answer is F,E,A,C,B,D

Explanation

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