Page 152 - Modul English Communication In Nursing

Urinary Tract Infection

Preventing a Catheter-associated Urinary Tract Infection (CAUTI)

The following is a dialogue between a nurse and a patient after the administration of the
catheter. Comprehend all the information given in the dialogue to complete the tasks.
a.
Understand the explanation given by the nurse and identify the detailed information given by the

patient to complete on the chart.
Ns. Ramlan : “Good morning, Mr. Haryadi. I’m here to check on your catheter and ask you a few
questions about how you’re feeling. I’ll also observe for any signs of infection. This will
help us ensure everything is going smoothly and catch any early signs of infection. Is
that okay?”
Mr. Haryadi : “Yes, that’s fine. I’m ready.”
Ns. Ramlan : “First, have you noticed any burning sensation around the catheter site or when you
feel the urge to urinate?”
Mr. Haryadi : “No, I haven’t felt any burning.”
Ns. Ramlan : “Good. Any pain or discomfort in your lower abdomen, where your bladder is located?”
Mr. Haryadi : “Not really, just a little discomfort from the catheter, but no real pain.”
Ns. Ramlan : “Okay, that’s normal. What about the color or smell of your urine? Have you noticed
any cloudiness, blood, or foul odor?”
Mr. Haryadi : “The urine looks normal to me. No blood or unusual smell.”
Ns. Ramlan : “Now, let’s check for any signs of a general infection. Have you felt feverish, had chills,
or experienced any unusual fatigue?”
Mr. Haryadi : “No, I’ve felt pretty normal. No chills or fever.”
Ns. Ramlan : “Great, I’ll just take your temperature to be sure.
Your temperature is normal—98.6°F. That’s a good sign. Any back pain, especially
around your lower back or the kidney area?”
Mr. Haryadi : “No, no back pain.”
Ns. Ramlan : “Let me take a quick look at the catheter site to examine the area around the catheter
insertion.”
“All right, there’s no redness, swelling, or discharge, which is excellent. Are you feeling
any tenderness or pain around the site?”
Mr. Haryadi : “No, it feels fine, just a little uncomfortable like I mentioned earlier.”
Ns. Ramlan : “That’s good to hear. Everything looks healthy around the insertion point.”
Mr. Haryadi : “Let’s take a look at the urine output and the drainage bag. Are you noticing any
decrease in the amount of urine draining or any leakage around the catheter?”
Ns. Ramlan : “No, the drainage seems to be working well. No leaks.”
Mr. Haryadi : “The drainage bag is positioned properly below your bladder level, and the output is
good. Everything seems to be in order here.”
Ns. Ramlan : “Have you felt the need to urinate even though the catheter is in place?”

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