Question

You are a nurse working with Joanne, a 23 year-old female who has been recovering after a motor vehicle accident. Joanne has had an indwelling catheter in place for 7 days. It is draining large amounts of urine. You noted that Joanne's urine was cloudy, she had a temperature of 100.40 F, and reports of abdominal discomfort. When you reported these findings to the physician, the catheter was discontinued and a urine CS was ordered? 1. Identify potential reasons for Joanne's 2. What alteration in urinary function does 3. What assessment data is essential to urinary catheter. the data suggest? determine whether Joanne is voiding adequately after the catheter is removed? 4. Identify at least four interventions to reduce the risk of urinary tract infection (UTI).

Answer 1

1. The potential reason behind the removal of urinary catheter and test to urinary culture and sensitivity is because, he shows the symptoms of urinary tract infection. The catheter was in palce for 7 days and the urine quantity was high when he was on bed which results in high body temperature to 100 degree celsius and abdominal discomfort. These are the reasons why the nurse is adviced to remove urinary catheter.

2. Leukocyte esterase is a screening test used to detect white blood cells in the urine. Presence of white blood cells in the urine shows a sign of urinary infection in the patient.

3. Assess for any urinary retention. This would help the nurse to understand that the patient is voiding adequately after the catheter has removed.

4. a) Hand wash, wear a clean gloves and clean the area before insertion of catheter b) use the smallest-size catheter possible c) increase the fluid intake to reduce the infection and d) daily cleansing of the urinary meatus is necessary to prevent infection.