Adaptive quiz questions

After a transurethral vaporization of the prostate the client returns to the unit with an indwelling urinary catheter in a continuous bladder irrigation the client pulls the call light on to report the need to urinate which action with the nurse take immediately?

Assess that the tubing attached to the collection bag is Patent

Which action with the nurse perform first in a male client one day after transurethral resection of the prostate reporting bladder pain with continuous bladder irrigation?

Assess the irrigation catheter for patency and drainage

Which intervention with the nurse implement for a client with a spinal cord injury who has difficulty voiding in dwelling catheter

Assess year in for cloudiness in foul odor

A client who has repeated episodes of cytosis scheduled for a Cystoscopy to determine the possibility of the urinary tract abnormalities. The client asked the nurse to describe the procedure which response by the nurse is appropriate?

This procedure is the visualization of the inside of the bladder with an instrument connected to the source of light

Which action would most to be affective in reducing the chance of hospital associated urinary tract infections?

Try to limit the use of indwelling urinary catheter's

Which site with the nurse used to obtain a specimen for your analysis on a client has an indwelling catheter?

Tubing injection port

Which nursing intervention is most appropriate for ensuring that the client has had undergone gastrostomy as a means of managing esophageal cancer gets balanced nutrition?

Administering tube feedings

Which statement by a client who is having the indwelling catheter and continuous bladder irrigation(CBI) removed after prostate surgery indicates that teaching done by the nurse was understood?

After the catheter is removed I probably will experience a burning on urination

Which information with the nurse provide to the client scheduled for a transurethral resection of the prostate regarding what to expect after surgery?

An indwelling urinary catheter is required for at least a day

Which task with the nurse delegate to the UAP for client being prepared for exploratory laparotomy?

Apply a condom catheter

The day after a client has a cesarean birth the indwelling catheter was removed at which point with the nurse conclude that the urinary function has returned?

300 mL of urine within the four hours of catheter removed

Which action with the nurse take one caring for a client who is urine output has progressively diminished and is less than 40 mL per hour over the past three hours despite receiving 2900 mL intake for two days?

Assess breath sounds and obtain vital signs

Which clinical situation with the nurse delegate to the nursing assistant?

A client 12 hours post cesarean section with an indwelling catheter who requires a urine culture

Which client is at higher risk of developing healthcare associated infections?

A client with Laryngeal cancer A client with diabetes Mellitus A client with and an indwelling urinary catheter

Which consideration with the nurse manager take when responding to a clients Family reported that the nurse failed to obtain a signed consent before inserting in a dwelling catheter on an a phasic client?

A separate signed informed consent for routine treatment is unnecessary

Which discharge instruction with the nurse include for a client being sent home with an indwelling urinary catheter?

Change the drainage bag at least once a week as needed

Which action would be taken by the nurse caring for a client with a urinary retention catheter who reports discomfort in the bladder and urethra?

Check the patency of the catheter

A urine specimen is needed to test for the presence of key tones in a client who is diabetic what should the nurse do in collecting the specimen from a urinary retention catheter?

Clamp the catheter cleanse the port use a syringe to remove the urine

Which action with the nurse take to prevent infection from a urinary retention catheter?

Cleaning around the meatus routinely

In addition to balloon inflation which function is performed by the 3 lm of triple lumen urinary catheter inserted for continuous irrigation after transurethral resection of the prostate?

Continuous inflow and outflow of the irrigation solution

Which nursing intervention would help prevent sepsis in an older adult client who has an indwelling catheter?

Empty the urinary drainage bag when it is 1/2 full Wash hands and wear clean gloves when performing catheter care Use alcohol to clean the drainage port before reconnecting it to the bag Consult the healthcare provider to have a catheter removed as soon as possible

Which principal with a nurse recall is basic to caring for a client with an indwelling urinary catheter?

Gravity

Which action by the client indicates a need for further teaching when observing a return demonstration of colostomy irrigation by a client with a newly created colostomy?

Hanging the irrigation bag on the close hook during fluid insertion

Which complication is important for the nurse to assess during the immediate postoperative period of a client who has had a transurethral resection of the prostate transferred with an IV and urinary retention catheter?

Hemorrhage Common because of Venus oozing and bleeding from many small arteries in the area

Which response to a client who has had transurethral prostatectomy and experiences dribbling after the indwelling catheter is removed will address this problem?

Increase your fluid intake and urinate at regular intervals

Which causes likely is responsible for a client experiencing difficulty in voiding after removal of the indwelling Urinary catheter?

Interruption in previous voiding habits

Which action will the nurse take to prevent development of a urinary tract infection in a client admitted to the hospital with urinary retention who is prescribed an indwelling urinary catheter?

Maintain the prescribed hydration

Which action with the nurse taking a client with an indwelling urinary catheter for urinary retention to help prevent the development or a urinary tract infection?

Maintain the prescribed hydration

Which nursing intervention with the nurse used to help avoid a urinary track infection in a female client recovering from an exploratory laparotomy?

Maintaining a closed indwelling urinary catheter system and securing the catheter to the leg.

A client is scheduled for a transurethral resection of the prostate (TURP) which statement made by the client most indicates the need for further preoperative teaching?

My incision will probably be painful

Which intervention by the nurse would facilitate gastric decompression in a client with ruptured peptic ulcer?

Nasogastric tube to low suction

Which action would be taken immediately by a nurse caring for a client who accidentally pulls out the urethral catheter after returning from the post anesthesia care unit following up suprapubic prostatectomy?

Notify the healthcare provider

Which action with a nurse take one caring for a older bedridden male client who is in continent of urine?

Offer the urinal regularly

Which intervention what a nurse implement when initially caring for older bedridden client who is in continent of urine?

Offering the urinal regularly

A male client reports dysuria nocturia and difficulty starting the urinary stream. A cystoscope and biopsy of the prostate gland have been scheduled. After the procedure the client reports an inability to void. which action would the nurse take?

Palpate above the pubic symphysis

A client who has had a transurethral resection of the prostate I ask why is it necessary to maintain their attention catheter taut secured to the leg which reason with the nurse include in the response to this question?

Prevent bleeding

Which action with the nurse take one caring for a client with continuous bladder irrigation

Subtract the amount of irrigant instilled from the output

Which precaution with a nurse take while inserting and then dwelling urinary catheter in a client who has methicillin restraint staphylococcus aureus in the urine?

Surgical a sepsis

The day after her client has a Cesarean birth the indwelling catheter is removed when will the nurse conclude that urinary function has returned?

The client void 300 mL of urine within four hours of catheter removal

Which scenario with the nurse consider as data collection component of the nursing process?

The nurse checked the client health history for allergy to iodine before inserting a urinary catheter The nurse checks if the client has a history of substance abuse before administering nasal medication The nurse checks the medical records of the client to know if the client has had any rectal surgery in the past year before placing an internal fecal catheter

Which response would be given by a nurse when asked by client what to expect after a transurethral resection of the prostate?

There will be an indwelling urinary catheter in a continuous bladder irrigation in place

Which major disadvantage of the conduit diversion with the nurse consider when caring for a client after surgical creation of a conduit diversion?

Urine continuously drains from it

Which action would be taken by the nurse caring for a male client on continuous bladder irrigation one day after a transurethral procedure?

Use aseptic technique when irrigating the catheter

Which action is important for the nurse to implement in a client with an indwelling urinary catheter when irrigating the bladder?

Use sterile equipment

Which instruction is the most important for all nurses to include when providing discharge instructions to a client related to urinary self catheterization?

Wash your hands before performing this procedure