Experiences occasional urinary incontinence

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A nurse in an acute care facility is caring for Calvin Wilson. Mr. Wilson experiences occasional urinary incontinence. The nurse provides perineal care following an episode of incontinence and notes the perineal skin is intact and free from redness. Mr. Wilson is scheduled for a surgical procedure and has a prescription for preoperative placement of an indwelling urinary catheter. The nurse inserts a 20 Fr double lumen indwelling catheter with a 30 mL balloon using sterile technique. There is immediate return of 120 mL of cloudy, dark yellow urine. The nurse obtains a urine specimen for laboratory testing. The client tolerates the procedure well. Practice documenting the following information in the client's electronic health record in EHRT: Perineal care (Flowsheet: Daily Care) Reason for catheter insertion (Flowsheet: Interventions) Insertion of the catheter (Flowsheet: Interventions) Catheter details (Flowsheet: Interventions) Specimen collection (Flowsheet: Interventions) Appearance of urine (Flowsheet: Interventions) Quantity of urine (Flowsheet: Interventions) Client's response to the procedure (Flowsheet: Interventions) Securement of catheter Drag the right edge of the chart or use the three lines in the top left corner to access the chart's navigation menu.

Reference no: EM133751361

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