NCLEX® QUESTION OF THE WEEK

Question of the Week – June 28, 2023

The nurse is assisting in caring for a client who has returned from the postanesthesia care unit after prostatectomy. The client has a three-way Foley catheter with an infusion of continuous bladder irrigation (CBI). Which color description of the urinary drainage should lead the nurse to determine that the flow rate is adequate?

Show Answer Answer
Correct! The answer is number 3

Rationale:

Answer: 3

Rationale: The infusion of bladder irrigant is not at a preset rate; rather, it is increased or decreased to maintain urine that is a clear, pale yellow color or that has just a slight pink tinge. The infusion rate should be increased if the drainage is cherry colored or if clots are seen. Alternatively, the rate can be slowed down slightly if the returns are as clear as water.

Level of Cognitive Ability: Evaluating

Client Needs: Physiological Integrity

Integrated Process: Nursing Process/Evaluation

Content Area: Adult Health: Renal and Urinary

Health Problem: Adult Health: Renal and Urinary: Obstructive Problems

Practice Question Sourced From: Evolve Resources for Saunders Q & A Review for the NCLEX-PN® Examination, 5th Edition

Evolve Resources for Saunders Q & A Review for the NCLEX-PN® Examination, 5th Edition
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