Which finding suggests that the client's catheter is occluded? After having transurethral resection of the prostate (TURP), a client returns to the unit with a three-way indwelling urinary catheter and continuous closed bladder irrigation.
A. The urine in the drainage bag appears red to pink.
B. The client reports bladder spasms and the urge to void.
C. The normal saline irrigant is infusing at a rate of 50 drops/minute.
D. About 1,000 ml of irrigant have been instilled; 1,200 ml of drainage have been returned.
Many times hospitals use catheters in order to drain fluid out of the body. However, individual can use and insert catheters into their own bodies while at home instead of always having to go to the hospital to do that. If a catheter become occluded, then it has become blocked with something. Even though normally fluid runs through a catheter, tissue and other solid things can come through the catheter blocking it.
A client may have had transurethral resection of the prostate and he returns to the unit with a three-way indwelling urinary catheter and continued closed bladder irrigation. If a client’s catheter is occluded, then the bladder will spasm and the client will have an urge to avoid urination.
The client reports bladder spasms and the urge to void.-rationale: reports of bladder spasms and the urge to void suggest that a blood clot may be occluding the catheter. after turp, urine normally appears red to pink, and normal saline irrigant usually is infused at a rate of 40 to 60 drops/minute or according to facility protocol. the amount of returned fluid (1,200 ml) should correspond to the amount of instilled fluid, plus the clients urine output (1,000 ml + 200 ml), which reflects catheter patency. client needs category: physiological integrity client needs subcategory: basic care and comfort cognitive level: application reference: smeltzer, s.c., et al. brunner & suddarths textbook of medical-surgical nursing,11th ed. philadelphia: lippincott williams & wilkins, 2008, p. 1767.