Study Material
the nurse is emptying a urinary drainage bag for a client with an indwelling urinary catheter.
what action will the nurse take to prevent a catheter-associated urinary tract infection?
- use the same measuring receptacle for all clients
- do not let the drainage spigot touch the measuring receptacle
- empty the drainage bag after it is completely full
- loop the catheter tubing to ensure the drainage bag does not touch the floor - ANS✔✔ do not
let the drainage spigot touch the measuring receptacle
a client reports difficulty in initiating and maintaining a urine stream. how would the nurse best
document this finding?
- dribbling
- hesitancy
- urgency
- dysuria - ANS✔✔ hesitancy
the client is suffering with stress incontinence. the nurse would expect the client to report
which symptom?
- nocturia
- hesitancy
- oliguria
- dribbling - ANS✔✔ dribbling
, the nurse has placed a condom catheter on a male client. which finding of the penis will the
nurse assess for after application that indicates poor circulation to the penis?
- erection
- skin lesion
- urge to void
- discoloration - ANS✔✔ discoloration
the nurse is assessing urinary output for a client. which client's output should the nurse report
to the health care provider?
- the client who has dark, yellow colored urine
- the client with transparent straw colored urine
- the client with 45 ml of urine output over the last 3 hrs
- client who has not voided in 2 hours - ANS✔✔ the client with 45 ml of urine output over the
last 3 hrs
Which teaching approach will the nurse use to provide the client with the opportunity to
manage self-care? - ANS✔✔ Entrusting
When providing preparatory instruction to a client the nurse will describe the commonly
experienced physical sensations and the cause of the sensations for a procedure. (True or False)
- ANS✔✔ true
The nurse taught a client how to use crutches. How will the nurse evaluate the client's learning
of this new skill? - ANS✔✔ The client will demonstrate proper use of the crutches.