The nurse is discontinuing the patient's indwelling urinary catheter. The catheter is not easily withdrawn after the balloon is deflated. Which is the appropriate nursing action?
Reattach the syringe and attempt to withdraw more water from the balloon.
Ask the patient to bear down as the catheter is withdrawn with gentle pressure.
Review the patient's chart to see how much water was inserted into the balloon.
Explain to the patient that removal of the catheter may cause significant discomfort.
The Correct Answer is A
A. Reattach the syringe and attempt to withdraw more water from the balloon:
Occasionally, fluid remains in the balloon due to backflow or incomplete deflation. Attempting to withdraw again is safe and often resolves the issue.
B. Ask the patient to bear down as the catheter is withdrawn with gentle pressure:
This may cause trauma if the balloon is not fully deflated. Not appropriate until it's confirmed that the balloon is completely empty.
C. Review the patient's chart to see how much water was inserted into the balloon:
Helpful for planning but not the immediate appropriate action. Reattempting aspiration is more time-sensitive and effective.
D. Explain to the patient that removal of the catheter may cause significant discomfort:
This does not solve the problem. The goal is to remove the catheter safely and with minimal discomfort.
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Related Questions
Correct Answer is D
Explanation
A. Disconnect the drainage tube from the catheter:
This breaks the closed system and increases the risk of infection. Not appropriate.
B. Withdraw urine from the closed system drainage bag:
The urine in the bag is not fresh and may be contaminated, leading to inaccurate results.
C. Empty contents of the drainage bag into the specimen cup:
This is not a sterile method and would not provide a reliable culture result.
D. Attach a sterile syringe to the catheter port to withdraw urine:
This is the correct sterile technique for obtaining a sample from an indwelling catheter without contaminating the system.
Correct Answer is C
Explanation
A. An 8-year-old male undergoing anesthesia for a tonsillectomy:
This child likely has no anatomical issues. A straight catheter would typically suffice for short-term use.
B. A 24-year-old female who is going into labor:
Females typically have a short urethra; a standard catheter is appropriate.
C. A 56-year-old male admitted for bladder irrigation:
Coudé catheters are curved-tipped and designed for males with prostatic hypertrophy or urethral stricture, which is common in older males. This is the correct use.
D. An 86-year-old female admitted for a urinary tract infection:
There is no indication of urethral obstruction or prostatic issues-Coudé not necessary.
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