ATI Dynamic Catheter
A nurse is preparing to insert an indwelling urinary catheter. Which of the following instructions should the nurse give the client to ease the passage of the catheter through the urinary meatus?
"Bear down"
A nurse is supervising a newly licensed nurse who is suctioning a client's tracheostomy. The nurse should identify that which of the following actions by the newly licensed nurse indicates an understanding of the procedure?
Administering high-flow oxygen prior to the procedure
A nurse is preparing to insert an indwelling urinary catheter for client. Which of the following actions should the nurse have the client perform just before inserting the catheter?
Bear down gently
A nurse is caring for a client who is postoperative and has an indwelling urinary catheter to gravity drainage. The nurse notes no urine output in the past 2 hours. Which of the following actions should the nurse take first?
Check to determine if the catheter tubing is kinked
A nurse is collecting a urine specimen for culture and sensitivity for a client who has a urinary tract infection. The client has an indwelling urinary catheter in place. Which of the following actions should the nurse take?
Clamp the tubing below the collection port
A nurse is preparing to insert an NG tube for a client. Which of the following actions will help facilitate the inception of the tube?
Coat the tip with a water-soluble lubricant Ask the client to swallow water while the tube enters her throat Tell the client to tilt her head backward as insertion begins
A nurse is caring for a client who has a tracheostomy and requires suctioning. Which of the following actions should the nurse take?
Hyperoxygenate the client before suctioning
A nurse is preparing to insert an indwelling urinary catheter for a male client. Which of the following locations should the nurse secure the urinary catheter tubing?
Lower abdomen or upper thigh
During the insertion of a urinary catheter for a client, the tip of the catheter brushes against the nurse's arm. Which of the following actions should the nurse take?
Obtain a new catheter and reattempt insertion
A nurse is performing suctioning for a client who has a tracheostomy. Which of the following actions should the nurse take?
Pull back the suction catheter by 1 cm (0.5 in) if the client starts coughing
A nurse is caring for a client who is receiving a fluid infusion through peripheral IV catheter. The nurse notes that the part of the arm immediately surrounding the insertion site is red and feels warm. Which of the following actions should the nurse take?
Remove the IV catheter
A nurse is caring for a client who is receiving an IV infusion of 5% dextrose in lactated Ringer's. The nurse notices that the area around the catheter insertion site is edematous and cooler than the surrounding skin on the forearm. Which of the following actions should the nurse take?
Stop the infusion
A nurse delegated the task of emptying an indwelling urinary catheter drainage bag to an assistive personnel (AP). The nurse later observes the AP emptying the bag without wearing gloves. Which of the following actions should he nurse take?
Talk with the AP about the technique used
A nurse is checking the IV insertion site for infiltration for a client who is receiving fluid replacement. Which of the following findings should the nurse identify as infiltration of the IV infusion site?
Taut skin around the IV catheter site that is cool to the touch
A nurse is inserting an indwelling urinary catheter into the penis of a client. Which of the following actions should the nurse take?
Use the non dominant hand to grasp the penile shaft
A nurse is preparing to irrigate a client's wound. Which of the following actions should the nurse take?
Warm the irrigating solution to 37 degrees celsius (98.6 degrees F)
A nurse is performing a straight urinary catheterization for a female client who has urinary retention. Which of the following actions indicate the nurse is maintaining sterile technique?
Wiping the labia minora in a anteroposterior direction
