Exam 18: Urinary Elimination

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?

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

The nurse inserts an indwelling urinary catheter into an adult patient who has been unable to void.Which assessment finding would the nurse expect?

The nurse infused a continuous bladder irrigation solution at 250 mL/hr for 12 hours.The total output amount measured was 3720 mL.What should the nurse record for the patient's urinary output?

2. __________ __________ _________ is an example of a continuous infusion of a sterile solution into the bladder,usually using a three-way irrigation closed system with a triple-lumen catheter.

The nurse assesses a patient's suprapubic catheter.Which observation warrants further investigation by the nurse?

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 to facilitate insertion?

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

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

The nurse assesses the patient's skin around the suprapubic catheter and observes extremely reddened skin.Which is the best nursing intervention to promote skin integrity?

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.)

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

1. A ________ ___________ is a noninvasive device that measures the volume of urine in the bladder by creating an ultrasound image of the bladder from which calculations are made to report urine volumes.

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

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

The nurse notes that 8 hours after removing the patient's indwelling urinary catheter,the patient has not voided.Which intervention should the nurse try first to facilitate patient voiding?

A male patient is having difficulty using the urinal in bed.What does the nurse do to facilitate voiding into the urinal?

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?

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?

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