Evolve
The nurse is teaching a client with a urinary stoma about how to change the collection bag and appliance at home. Which of the following client statements indicate an understanding of the procedure?
"The pouch needs to be changed every 5 to 7 days."
The staff nurse is observing a new graduate nurse provide indwelling urinary catheter care to an uncircumsized male client. Which action by the new graduate nurse would indicate a need for further teaching?
Removes a loose catheter anchor & places a new anchor
The surgeon asks the nurse to obtain a urinary catheter that will be used for continuous bladder irrigation. Which urinary catheter would be the nurse obtain?
A triple-lumen catheter
A primary health care provider has ordered digital removal of stool for a constipated client. How would the nurse position the client for this procedure?
Left lateral Sims' position
The nurse is inserting an indwelling urinary catheter in a client and begins to inflate the balloon when the client starts complaining of pain. Which action would the nurse take?
Stop inflating the balloon, allow the saline solution to drain into the syringe & advance the catheter further before re inflating the balloon.
The nurse is inserting an indwelling urinary catheter into a male client. As the catheter is inserted into the urethra, urine begins to flow into the tubing. When would the nurse inflate the balloon?
Advance the catheter to the bifurcation & inflate the balloon.
The nurse is preparing to irrigate a client's sigmoid colostomy. The nurse would plan for which intervention to perform this procedure?
Instilling 500 to 1000 mL of lukewarm tap water through the stoma.
