Reference no: EM133689893
Assignment:
Tiffany Jones
Tiffany Jones, age 17, is scheduled to undergo an ovarian cyst biopsy under local anesthesia. She has been NPO since midnight. Her ID bracelet is on and her consent form is signed. Her mother is in the waiting room. You are to provide Tiffany's immediate preoperative care. You place an IV in her left hand without difficulty. The next procedure is to insert an indwelling urinary (Foley) catheter. You set up the sterile field between her legs. As you clean the urinary meatus, Tiffany keeps drawing her legs closer together. When you remind her, she opens her legs and says, "Sorry, I didn't mean to move." As you insert the catheter into the urethra, Tiffany is startled and slams her knees together. When she opens her knees, the catheter appears to be inserted, but no urine is flowing.
Prescribed Interventions
Intravenous fluids: D5 ½ NSS at 50 mL/hr
Foley catheter to straight drainage
Answer the following Questions
1. Where might the urinary catheter be positioned, and should you advance the catheter further?
2. How do you determine whether the catheter and the sterile field are still sterile?
3. How could you have set up a more stable sterile field?
4. Identify issues of concern to patients before surgery.
5. Describe methods of responding to Tiffany's nervousness.
6. Suggested Responses for Integrated Nursing Care.