During continuous bladder irrigation, it is common for the patient to report a continuous need to urinate. It is likely the patient simply needs to focus on something else such as a book or TV show, however, the nurse must first assess the CBI system for kinks or obstruction and determine the intake and output. If the system is determined to be working properly, the patient can be redirected. Manipulation of the catheter in anyway (deflating the balloon, advancing the catheter or releasing tension on the catheter) is contraindicated and must only be performed by the provider.