A nurse is assisting with the care of a client.
 

Exhibits

Complete the following sentence.

After notifying the provider, the nurse should first

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and then

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.

A) Coiling the tubing on the bed above the collection bag is incorrect because it can cause urine to flow back into the bladder, increasing the risk of infection and compromising the effectiveness of the drainage system. The tubing should be kept below the level of the bladder to ensure proper drainage.

B) Instructing the client to hold the drainage bag at waist height when ambulating is incorrect because the drainage bag should always be kept below the level of the bladder to prevent urine from flowing back into the bladder, which could lead to a urinary tract infection (UTI).

C) Collecting a sterile specimen from the urinary drainage bag is incorrect because urine in the drainage bag is not considered sterile. If a sterile specimen is needed, it should be obtained by cleaning the catheter's sampling port with an antiseptic solution and withdrawing urine directly from the port using a sterile syringe.

D) Securing the tubing with adhesive tape to the lower abdomen is correct because it helps prevent accidental pulling or tugging on the catheter, which could cause discomfort or dislodgement. Properly securing the tubing also helps maintain a continuous flow of urine and reduces the risk of infection.

Choice A Reason:

Keeping legs in a dependent position (hanging down) is generally not recommended after vein stripping surgery, as it can increase swelling. Elevation of the leg is often recommended to reduce swelling and improve blood flow.

Choice B Reason:

Wrapping the leg with an elastic bandage is correct. When providing discharge teaching to a client who has undergone vein stripping of the right leg, the nurse should include instructions for post-operative care. Wrapping the leg with an elastic bandage is a common practice to help reduce swelling, provide support to the leg, and promote healing. Proper application of the bandage helps with compression and prevents complications like hematoma formation.

Choice C Reason:

Maintaining bed rest for 48 hours is not typically required after vein stripping surgery. Early ambulation and movement are encouraged to prevent blood clots and promote healing.

Choice D Reason:

Implementing a sodium-restricted diet is not directly related to post-operative care for vein stripping surgery. Dietary restrictions should be discussed with a healthcare provider, but they are not a routine part of post-operative instructions for this procedure.