Mod 17 Quiz-Urinary Care
A single lumen catheter that is inserted into the bladder through the urethra only to empty the bladder and then is removed is known as a _______ catheter -malecot -straight -condom -foley -de pezzer
Straight
The following catheterization procedures are used to treat clients with urinary retention. Which procedure would the nurse identify as carrying the greatest risk to the client? a. Permanent drainage with a urethral catheter b. Suprapubic cystostomy tube c. Crede voiding procedure d. Clean intermittent catheterization
A
The nurse is caring for a pt who is experiencing inadequate bladder emptying. To determine postvoid residual p, which technique is most important for the nurse to implement? a. Bladder scanner b. Indwelling catheterization c. Straight/intermittent catheterization d. Foley catheterization
A
The nurse is preparing the pt for a bladder scan to determine postvoid residual. Which of the following is part of the preparation? a. Begin scan 10 min after the pt has voided b. Limit liquid intake for 30 min before the scan c. Limit food intake for 2 hrs before the scan d. Administer an analgesic 30 min before the scan
A
The nurse is to check residual urine amts for a client experiencing urinary retention. Which of the following would be MOST important? a. Catheterize the client immediately after the client voids b. Record the volume of urine obtained c. Set up a routine schedule of every 4 hrs to check for residual urine d. Check for residual after the client reports the urge to void
A
When providing care for an incontinent pt in need of an indwelling catheter, the nurse understands that which of the following is an indication for this need? a. Presence of stage 3 & 4 pressure ulcers to the buttocks b. Need to manage urinary elimination c. Presence of a yeast infection d. Need for inaccurate measurement of urinary output
A
____________ involves the insertion of a urinary catheter directly into the bladder through the lower abdomen wall. Urine drains from the catheter into a urinary drainage bag -suprapubic -foley -intermittent -condom
Suprapubic
On the basis of the nurse's assessment of kidney function for an adult pt, which finding is considered minimally normal urine output? a. 10 mL/hr b. 30 mL/hr c. 100 mL/hr d. 20 mL/hr
B
The nurse is assessing a pt whose 24 hr output is 2400 mL. Which funding reflects the nurse understanding of urine output? a. Decreased output b. Normal output c. Balanced output d. Increased output
B
The nurse is caring for a male client who has a significant urinary narrowing secondary to an enlarged prostate. Which nursing action is BEST to relieve his urinary retention? a. Teach the Crede maneuver to remove urine from the bladder b. Insert a coude catheter to remove urine from the bladder c. Use a 22-Fr catheter to remove urine from the bladder d. Use a straight-tipped catheter to remove urine from the bladder
B
Which activities related to urinary elimination may be delegated to a CNA? a. Assessing urinary drainage b. Positioning the pt c. Catheterization d. Evaluating alternatives to catheter use
B
In assisting a male pt in using a urinal, which of the following actions should the nurse take? Select all that apply a. Always stay with the pt during urinal use b. Assess the pt normal elimination habits c. Assess for periods of incontinence d. Assess for orthostatic hypotension e. Prop the urinal in place if the pt is unable to hold it
B, C, D
The nurse has inserted an in dwelling catheter and secured the catheter to the pt thigh, making sure that there is enough slack that movement will not create tension on the catheter. The nurse understands that the chief purpose of the properly securing Foley catheters is to obtain which outcome? Select all that apply a. Increased bladder relaxation b. Reduced risk for trauma c. Reduced risk for bladder spasm d. Reduced risk for meatal necrosis e. Minimized risk for bleeding
B, D, E
The nurse is caring for a pt who has an indwelling catheter attached to a drainage bag. To achieve the desired outcome of this procedure, which nursing action should be taken? a. Make sure the tubing is kinked b. Make sure the tubing has dependent loops to gather urine c. Make sure the tubing is coiled and secured to the bed d. Make sure the collection bag is higher than the bladder
C
The nurse is caring for a pt who has an indwelling urinary catheter. Which intervention is most important to include in this pt plan of care? a. Emptying the urinary collection bag every 24 hrs b. Keeping the drainage bag on the bed or attached to the side rails c. Cleaning in a circular motion from the meatus down the catheter d. Maintains tension on the tubing
C
The nurse is planning care for a 8 yr old female pt who needs a Foley catheter inserted. It is most important for the nurse to use a catheter of which size Fr? a. 5-6 Fr b. 14-16 Fr c. 8-10 Fr d. 12 Fr
C
The nurse receives an order to insert a Foley catheter. In obtaining a catheter of the right size, the nurse is aware that large catheters can lead to which complication? a. Decreased risk for infection b. Bladder relaxation c. Urethral damage d. Obstruction of urinary flow
C
A ______ is a noninvasive alternative for management of male urinary incontinence. Because it is noninvasive, the risk for UTI is decreased. The device fits over the penis and connects to a small collection bag that attaches to the leg with a strap, or to a standard urinary collection bag that hangs on the bed frame below the level of the bladder. -coude -foley -condom -suprapubic
Condom
As the nurse comes from morning report, the nurse is instructed to use a bladder scanner on a client following a client's attempt at urination. The client is able to void 300 mL. The client denies any pain on urination. The nurse scans 250 mL of remaining urine in the bladder. Which entry is MOST correct when documenting the intervention? a. Bladder scanning resulted in 250 mL b. Client voided 550 mL of urine for the day shift c. Client voided 300 mL without dysuria d. Client voided 300 mL with 250 mL residual volume
D
The LPN is employed as a charge nurse at a LTC facility. A resident is ordered a catheterization schedule of every 6 hrs due to chronic urinary retention. The LPN reports daily catheterization amts from the previous day ranging from 450 to 800 mL. Which nursing action is most correct? a. Continue the same order b. Obtain an order to decrease the frequency of the catheterization c. Leave the catheter in if obtaining amt over 500 mL d. Obtain an order to increase the frequency the catheterization
D
The nurse is assisting in the transport of a client with an in dwelling catheter to the diagnostic studies unit. Which action, made by the CNA, would require instruction? a. The CNA keeps the catheter and drainage bag together when moving the client b. The CNA places the drainage bag on the lower area of the wheelchair for transport c. The CNA places the drainage bag on the clients abdomen for transport
D
The nurse notes that urine does not flow after a female to is catheterized. The nurse believes that the catheter had been place into the vagina. Which action should the nurse take? a. Irrigate the catheter with saline b. Remove the catheter and reinsert it c. Insert the catheter 9-10 inches farther into to the pt to verify that it is in the vagina d. Leave the catheter in place and insert another one
D
When evaluating the health care team members ability to apply a condominium catheter, it is most important for the nurse to provide further instruction for which intervention? a. Leaving 1-2 in of space between the tip of the penis and the end of the catheter b. Clipping of hair at the base of penis c. Applying skin preparation to the penis before catheter placement d. Using regular adhesive tape to hold the catheter in place
D
When the balloon on an indwelling catheter is inflated and the pt expresses discomfort, it is essential for the nurse to take which action? a. Remove the catheter b. Pull back on catheter slightly to determine tension c. Continue to blow up the balloon because discomfort is expected d. Aspirate the fluid from the balloon and advance the catheter
D
