Urinary Catheterization: 210L Quiz #11

While setting up the sterile field in preparation for inserting an indwelling urinary catheter, a male patient is incontinent of urine over most of the supplies. What action would the nurse take to reduce the patient's risk for infection?

Replace all contaminated supplies, and begin the process again.

When preparing to discharge a patient who had an indwelling urinary catheter removed 24 hours ago, the nurse would offer patient education regarding which common complication?

Urinary tract infection (UTI)

The nurse instructs nursing assistive personnel (NAP) regarding proper technique for intermittent straight catheterization of a male patient. Which statement made by NAP indicates that the instruction was effective?

"I'll help keep his legs away from the sterile field."

Which statement might the nurse make to nursing assistive personnel (NAP) before delegating the collection of a routine urine sample from a patient with an indwelling urinary catheter?

"Let me know if the urine contains blood or sediment, or appears cloudy."

Which statement best illustrates the nurse's understanding of the role of nursing assistive personnel (NAP) when inserting an indwelling urinary catheter in a female patient?

"Please direct the light to better illuminate the patient's perineal area."

Which statement might the nurse make to nursing assistive personnel (NAP) caring for a patient who has just had an indwelling urinary catheter removed?

"Tell me when and how much the patient first voids."

Which action(s) would minimize the patient's risk for injury during insertion of an indwelling urinary catheter?

Assessing the patient for allergies related to latex, antiseptic, tape, and/or iodine-based substances

Which nursing action minimizes a patient's risk for injury during removal of an indwelling urinary catheter?

Checking the documentation for the volume of fluid used to inflate the balloon

When collecting a urine specimen from an indwelling urinary catheter, which action is most likely to ensure that sufficient urine is collected?

Clamping the catheter tubing for 15 minutes before collection

Which is not an expected outcome on a first voiding after catheter removal?

Fever and back pain

Which measure may be taken to minimize the staff's risk for infection from a urine specimen?

Firmly securing the lid of the urine specimen container

Which action will ensure that a sterile urine specimen is handled properly in order to help obtain reliable results?

Having someone take the specimen to the lab immediately

While performing an intermittent straight urinary catheterization of a female patient, the nurse inadvertently inserts the catheter into the patient's vagina. Which action would the nurse take next?

Keep the catheter in place, and begin again with a new sterile catheter.

When preparing to insert an indwelling urinary catheter in a male patient, it is important for the nurse to do what?

Lubricate the first 5 to 7 inches of the catheter.

The nurse has completed an intermittent straight urinary catheterization of a female patient. Which action would the nurse delegate to nursing assistive personnel (NAP)?

Measure and empty the urine.

The nurse has completed the initial inspection of the patient's perineum and is preparing to insert an indwelling urinary catheter. Which action would the nurse complete next?

Remove soiled gloves, and perform hand hygiene.

A female patient placed in the dorsal recumbent position for the insertion of an indwelling urinary catheter tells the nurse that she "doesn't feel comfortable in this position" and that her "back really hurts." What is the nurse's best response?

Reposition the patient in a side-lying position, with her upper leg flexed at the knee and hip.

Why does the nurse need to keep the urine sterile while obtaining a sample from an indwelling urinary catheter?

Sterile technique ensures that microorganisms in the specimen are from the urine, and not the result of contamination.

Which observation indicates that instruction given to nursing assistive personnel (NAP) in caring for a patient with an indwelling urinary catheter has been effective?

The excess catheter tubing has been coiled beside the patient's inner thigh.

Which action would best minimize a patient's risk for infection during removal of an indwelling urinary catheter?

The nurse or nursing assistive personnel (NAP) removing the catheter must employ clean technique.

What is the best reason for the nurse to instruct a male patient to take slow, deep breaths during insertion of an indwelling urinary catheter?

To promote relaxation

Why does the nurse cleanse a female patient's perineum before inserting an intermittent urinary catheter?

To reduce the patient's risk of urinary tract infection

Which action would the nurse take to reduce the risk for a catheter-associated urinary tract infection (CAUTI) in a patient with an indwelling urinary catheter?

Use the smallest-size catheter possible.

Which action will the nurse implement to reduce the risk of catheter-associated urinary tract infection (CAUTI) in a male patient with an indwelling urinary catheter?

Clean the urinary meatus daily.

While attempting to perform a straight catheterization for a male patient, the nurse advances the catheter 3 to 4 inches into the meatus but observes no urine flow. Which action would the nurse take at this time?

Continue to advance the catheter until 5 to 7 inches of the catheter tube has been introduced into the urethra.