Exam 19: Urinary Elimination

The nurse notes that 8 hours after removing the patient's indwelling urinary catheter, the patient has not voided.Which action would the nurse take first?

The charge nurse is reviewing patients on the unit who have indwelling urinary catheters for appropriateness of this treatment.Which of the following have catheters for appropriate reasons? (Select all that apply.)

The patient reports a sharp stabbing pain when the nurse inflates the balloon during insertion of an indwelling urinary catheter.What would the nurse do in response to the patient report of pain?

The nurse is reviewing the instructions for applying a condom catheter with the NAP.Which of the following statements indicates an understanding of the procedure? (Select all that apply.)

The nurse delegates the application of an external urinary catheter to nursing assistive personnel (NAP), including application of an external urinary catheter.Which aspect of applying the external catheter must the nurse perform?

A female patient with a hysterectomy now needs to have her bladder scanned because of difficulty voiding after back surgery.What action does the nurse take to obtain the most accurate scan?

The nurse reviews an order for a continuous bladder irrigation after prostate surgery.Which action does the nurse take before starting the bladder irrigation?

The nurse is making patient care assignments for the staff.Which elimination activity can the nurse delegate to nursing assistive personnel (NAP) for a patient with an indwelling urinary catheter?

The nurse is reviewing the interventions for prevention of urinary catheter infections (CAUTIs).Which of the following interventions will help prevent infection? (Select all that apply.)

Four hours after applying an external urinary catheter, the nurse observes no urine output in the drainage bag.Which intervention does the nurse implement first?

In which position would the nurse place a female patient when preparing to insert a urinary catheter?

The nurse set up the sterile field and is preparing to cleanse a male patient before inserting a urinary catheter.What step is essential for the nurse to use when cleaning the penis?

The nurse determines that the patient's urinary output from the suprapubic catheter is 150 mL for 8 hours.What does the nurse implement as a follow-up nursing intervention?

The nurse is providing instructions to the NAP on applying a condom catheter on a male patient.Which of the following does the nurse instruct the NAP to report? (Select all that apply.)

The nurse is preparing to insert an indwelling urinary catheter into a female patient who is having major open-heart surgery and will be in the intensive care unit after surgery.Which statement about the purpose of the catheter by the patient best indicates that teaching by the nurse was effective?

Discharge teaching for a male patient with an external urinary catheter would include which of the following instructions?

The nurse encounters resistance during the insertion of a urinary catheter in a male patient.Which action would the nurse implement first?

A patient is going to have an indwelling catheter for the next few weeks as a result of postoperative complications.Which action does the nurse use to prevent the most common complication of an indwelling urinary catheter?

Which technique does the nurse use to cleanse the perineum of a female patient during urinary catheter insertion?

The nurse evaluates the effectiveness of the patient's intermittent urinary catheterization for residual urine.Which of the following requires follow-up nursing intervention?