A nurse is preparing for a midline dressing change with a patient who is extremely
diaphoretic. Which of the following dressings is most appropriate for this patient?
A. A gauze dressing placed over catheter exit site
B. A transparent dressing applied over catheter exit site
C. A transparent dressing placed over the gauze dressing at the catheter exit site
D. Antibacterial ointment applied at the exit site and covered with a gauze dressing
Give this one a try later!
A
A gauze dressing should be used with a patient who perspires excessively
because it wicks the moisture away from the catheter exit site. A transparent
dressing may not properly adhere to the skin and is not indicated for this
patient. Antibacterial ointment is no longer routinely used for intravenous
dressing changes because it has been found to be of no benefit to the
patient.
,A nurse is teaching a new nurse how to remove a midline catheter. The nurse asks the
new nurse what the minimum amount of time is to hold pressure on the site after the
catheter is removed. Which of the following responses would indicate the new nurse
understood the teaching?
A. 15 seconds
B. 30 seconds
C. 2 minutes
D. 5 minutes
Give this one a try later!
B.
Pressure should be applied to the site for a minimum of 30 seconds after
the catheter is removed. Fifteen seconds is too short a time for hemostasis
to be achieved, and holding for 2 or 5 minutes may be unnecessary. The
actual length of time it may take to achieve hemostasis may vary from
patient to patient; however, 30 seconds is the recommended minimum time.
What is the most effective way to prevent infection when providing catheter care for a
patient?
A. Properly dispose of soiled linen.
B. Perform hand hygiene before positioning the patient.
C. Secure the catheter to the patient’s leg or abdomen.
D. Cleanse from the meatus outward.
Give this one a try later!
D.
Securely holding the catheter and cleansing from the meatus outward is
the most effective way to prevent infection when providing catheter care.
Properly disposing of soiled linen is an infection control measure, but its
effect in preventing infection during catheter care is negligible. Performing
hand hygiene before positioning the patient is an infection control
measure, but its effect in preventing infection during catheter care is
negligible. Securing the catheter to the leg (in a female patient) or
, abdomen (in a male patient) will prevent the catheter from pulling on the
bladder and will therefore reduce the risk of CAUTI; however, it is not the
most important infection control measure listed.
Which nursing action minimizes a patient’s risk for injury during removal of an
indwelling urinary catheter?
A. Using a 5-mL syringe to deflate the balloon
B. Using sterile scissors to cut the valve to deflate the balloon
C. Tugging gently on the catheter to pull the balloon through the urethra
D. Checking the documentation for the volume of fluid used to inflate the balloon
Give this one a try later!
D.
Checking the volume of fluid used to inflate the balloon in order to ensure
the balloon is completely deflated before removal is the nursing action that
will minimize a patient's risk for injury during removal of an indwelling
urinary catheter. A 5-mL syringe may not be large enough to accommodate
the volume of fluid used to inflate the balloon. The valve on the catheter
should not be cut to deflate the balloon. An inflated balloon should not be
pulled through the urethra, no matter how gently. Doing so can damage
the bladder and urethra.
The nurse has delegated measurement of a patient's vital signs and catheter care to
nursing assistive personnel (NAP). Which observation should the NAP report to the
nurse immediately?
A. Rectal temperature of 99.6° F
B. Pulse rate of 88 beats per minute
C. Redness noted on the external urethral meatus
D. 200 mL of pale yellow urine in the drainage bag
Give this one a try later!
diaphoretic. Which of the following dressings is most appropriate for this patient?
A. A gauze dressing placed over catheter exit site
B. A transparent dressing applied over catheter exit site
C. A transparent dressing placed over the gauze dressing at the catheter exit site
D. Antibacterial ointment applied at the exit site and covered with a gauze dressing
Give this one a try later!
A
A gauze dressing should be used with a patient who perspires excessively
because it wicks the moisture away from the catheter exit site. A transparent
dressing may not properly adhere to the skin and is not indicated for this
patient. Antibacterial ointment is no longer routinely used for intravenous
dressing changes because it has been found to be of no benefit to the
patient.
,A nurse is teaching a new nurse how to remove a midline catheter. The nurse asks the
new nurse what the minimum amount of time is to hold pressure on the site after the
catheter is removed. Which of the following responses would indicate the new nurse
understood the teaching?
A. 15 seconds
B. 30 seconds
C. 2 minutes
D. 5 minutes
Give this one a try later!
B.
Pressure should be applied to the site for a minimum of 30 seconds after
the catheter is removed. Fifteen seconds is too short a time for hemostasis
to be achieved, and holding for 2 or 5 minutes may be unnecessary. The
actual length of time it may take to achieve hemostasis may vary from
patient to patient; however, 30 seconds is the recommended minimum time.
What is the most effective way to prevent infection when providing catheter care for a
patient?
A. Properly dispose of soiled linen.
B. Perform hand hygiene before positioning the patient.
C. Secure the catheter to the patient’s leg or abdomen.
D. Cleanse from the meatus outward.
Give this one a try later!
D.
Securely holding the catheter and cleansing from the meatus outward is
the most effective way to prevent infection when providing catheter care.
Properly disposing of soiled linen is an infection control measure, but its
effect in preventing infection during catheter care is negligible. Performing
hand hygiene before positioning the patient is an infection control
measure, but its effect in preventing infection during catheter care is
negligible. Securing the catheter to the leg (in a female patient) or
, abdomen (in a male patient) will prevent the catheter from pulling on the
bladder and will therefore reduce the risk of CAUTI; however, it is not the
most important infection control measure listed.
Which nursing action minimizes a patient’s risk for injury during removal of an
indwelling urinary catheter?
A. Using a 5-mL syringe to deflate the balloon
B. Using sterile scissors to cut the valve to deflate the balloon
C. Tugging gently on the catheter to pull the balloon through the urethra
D. Checking the documentation for the volume of fluid used to inflate the balloon
Give this one a try later!
D.
Checking the volume of fluid used to inflate the balloon in order to ensure
the balloon is completely deflated before removal is the nursing action that
will minimize a patient's risk for injury during removal of an indwelling
urinary catheter. A 5-mL syringe may not be large enough to accommodate
the volume of fluid used to inflate the balloon. The valve on the catheter
should not be cut to deflate the balloon. An inflated balloon should not be
pulled through the urethra, no matter how gently. Doing so can damage
the bladder and urethra.
The nurse has delegated measurement of a patient's vital signs and catheter care to
nursing assistive personnel (NAP). Which observation should the NAP report to the
nurse immediately?
A. Rectal temperature of 99.6° F
B. Pulse rate of 88 beats per minute
C. Redness noted on the external urethral meatus
D. 200 mL of pale yellow urine in the drainage bag
Give this one a try later!
