complete solution
Which of the following assessment findings will warrant the immediate
irrigation of the patient's urinary catheter after bladder surgery?
A) An oral temperature of 99.2° F lasting 12 hours
B) 24-hour urinary output that is 100 ml less that oral intake
C) Urinary output that is pink in color after bladder surgery
D) Appearance of dark reddish clots in the urinary drainage bag - correct
answers D) Appearance of dark reddish clots in the urinary drainage bag
Which of the following actions will minimize the patient's risk for injury during
the irrigation of a urinary catheter?
A) Discarding irrigation solution that is greater than 24 hours old
B) Using slow, even pressure when injecting the irrigation fluid
C) Adhering to aseptic technique during the irrigation process
D) Monitoring the patient's temperature every 4 hours - correct answers B)
Using slow, even pressure when injecting the irrigation fluid
Which of the following statements made by a nurse is most reflective of the
proper understanding of the role that unlicensed ancillary staff may play
regarding the irrigation of a urinary catheter in a male patient who has
experienced a prostatectomy?
A) Did he tolerate the last irrigation well?
B) Is he exhibiting any signs of a urinary tract infection?
, C) Please measure and then report his temperature to me every 4 hours.
D) Remember to discard any irrigation solution that is greater than 24 hours
old. - correct answers C) Please measure and then report his temperature to
me every 4 hours.
To specifically minimize the patient's risk for infection, the nurse should
complete the open irrigation of a urinary catheter by:
A) Attaching the urinary drainage bag to the bed's frame.
B) Inspecting the drainage tubing for obstructive kinks.
C) Properly disposing of all contaminated items, removing gloves, and then
performing effective hand hygiene.
D) Using an antiseptic wipe to clean the end of the drainage tubing before
reconnecting it to the catheter. - correct answers D) Using an antiseptic wipe
to clean the end of the drainage tubing before reconnecting it to the catheter.
Which of the following nursing actions is most appropriate when managing the
continuous urinary catheter irrigation for a patient whose urine is bright red
and contains clots?
A) Increase the irrigation drip rate.
B) Notify the patient's physician of the signs.
C) Encourage the patient to increase fluid intake.
D) Apply ice to the patient's lower abdominal area. - correct answers A)
Increase the irrigation drip rate.
The initial action when preparing to change the pouching system of a patient's
colostomy is to: