Notes, Procedures, and Practice Questions Explained||Latest
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A nurse is preparing to insert an indwelling urinary catheter for a
female patient. When beginning the insertion procedure, the nurse
should instruct the patient to
A) bear down.
B) take deep breaths.
C) sip water.
D) hold her breath. - Answer -A
(A - Bearing down as if to void relaxes the external sphincter and aids
in the insertion procedure. This is the appropriate instruction for the
patient. B - It is not necessary for the patient to take deep breaths
during a catheter insertion. C- It is not necessary for the patient to sip
water during a catheter insertion. D - It is not necessary for the patient
to hold her breath during a catheter insertion.)
A nurse is planning on obtaining a urinary specimen from a patient's
closed urinary system. Identify the sequence of steps the nurse should
take. (Move the steps of the process into the box on the right, placing
them in the selected order of performance. All steps must be used.)
1) Insert a 10 mL syringe and needle into the port.
2) Transfer the urine to a sterile specimen container.
3) Withdraw 5 mL of urine.
4) Wipe the port with an alcohol swab.
5) Transport the specimen to the laboratory. - Answer -4, 1, 3, 2, 5
When providing perineal care for a female patient who has an
indwelling urinary catheter, which of the following areas should the
nurse cleanse last?
A) The urethral meatus
pg. 1
, B) The labia minora
C)The perineum
D) The anus - Answer -D
(A - The urethral meatus is the first area the nurse should cleanse
when giving perineal care. B - Cleansing the labia minora last would
violate a basic principle of asepsis. C - Cleansing the perineum last
would violate a basic principle of asepsis. D- The basic aseptic
principle applicable to perineal care is to cleanse from the area of
least contamination to the area that is the most contaminated. The anal
area is typically contaminated with coliform bacteria and should be
cleansed last.)
A nurse is likely to receive an order for urinary catheterization of a
newly admitted patient who
A) has a persistent urinary tract infection.
B) has urge incontinence.
C) is in the ICU for a gastrointestinal bleed.
D) is incontinent due to cognitive decline. - Answer -C
(A - Urinary tract infections are treated with antimicrobial agents,
increased fluid intake, and pain management, not urinary
catheterization. B -Treatment options for urge incontinence typically
include pelvic floor exercises, medications, and bladder retraining, not
urinary catheterization. C - Precise measurement of urinary output is
crucial for managing fluid balance in patients who are critically ill. D
- This is a type of functional incontinence. Typical interventions
include scheduled toileting and absorbent products. Catheterization
would be a last resort for this patient.)
A nurse who is preparing to insert a straight urinary catheter for a
male patient should
A) grasp the penis at its base.
B) apply light traction to the penis.
pg. 2