The Nurse Observes No Change in Urine Output and a Distended

question 16

Multiple Choice

The nurse observes no change in urine output and a distended bladder in a patient with an indwelling urinary catheter and drainage system. The immediate nursing intervention is to do which of the following?

• A)Assess the catheter tubing for kinks and position so drainage is maintained by gravity.
• B)Notify the physician.
• C)Flush the catheter with sterile saline using a large syringe.
• D)Change the catheter.

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Definitions:

Femoral Artery

The major blood vessel supplying blood to the lower limb, running from the hip to the knee.

External Iliac

An artery that branches off from the common iliac artery and supplies blood to the lower limb.

Posterior Tibial Artery

A significant artery of the lower leg that supplies blood to the posterior compartment of the leg and sole of the foot.

Popliteal Artery

The major artery located behind the knee that branches from the femoral artery and supplies blood to the lower leg.