Ryan Kelter Case Study - Intermittent Catheterization - Nursing Assignment Help

Assignment Task

Ryan Kelter is a 33-year-old male who has been admitted to a community rehabilitation unit. He was injured in a motorcycle accident that caused a spinal cord injury (SCI). As a result of the SCI, he cannot fully empty his bladder. Because of this, he needs to undergo straight catheterization q8h and as needed (PRN).
You are the practical nurse learner assigned to Mr. Kelter. You understand the importance of keeping Mr. Kelter on his bladder schedule to prevent a urinary tract infection. Upon reviewing the previous shift’s documentation, you see Mr. Kelter was last catheterized at 1500 hours for 450cc. It is now 2000 hours and you have completed a head-to-toe assessment with vital signs. Mr. Kelter states that his bladder “feels full”. You review his orders and note the following:

Physician Order: Intermittent catheterization q8 and PRN for patient comfort.

You complete a PRN intermittent catheterization on Mr. Kelter for comfort. Based on the previous shift’s nursing notes, you select a 14 French straight catheter for the procedure.

Consider the objective and subjective data collected below
Complete a DARP-style documentation for the procedure you performed on Mr. Kelter. Please use the blank DARP word document provided and upload your DARP into the assignment dropbox on D2L by the assigned due date.
Urine volume collected 400 cc
Urine characteristics Yellow, clear, no sediment noted
Pain Patient reports minimal discomfort with procedure

Procedure
Challenging to advance catheter, patient required coaching on deep breathing to relax sphincter
Disposition Patient states “bladder feels empty” and that he is comfortable

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