ATI URINARY ELIMINATION FULL EXAM REVIEWS

ATI URINARY ELIMINATION FULL EXAM REVIEWS After cleaning the client, she repositions and her labia briefly touches the meatus. Which of the following should you do next? a. Restrain the client and start the procedure over, using a new sterile catheterization kit. b. Ask an assistive personnel to help and then apply sterile gloves; re-cleanse the meatus with sterile antiseptic. c. Quickly insert the catheter before further contamination can occur. - CORRECT ANSWER-b. Ask an assistive personnel to help and then apply sterile gloves; recleanse the meatus with sterile antiseptic. After inserting the catheter, there is no urine routput. Upon palpation, you feel the bladder is still distended. Which of the following actions should you take next? a. Remove the catheter and repeat the procedure with a sterile, larger diameter catheter. b. Slowly advance the catheter tip while gently rotating the tubing. c. Apply gentle pressure to the distended abdomen and observe for urine retention - CORRECT ANSWER-b. Slowly advance the catheter tip while gently rotating the tubing. If no urine appears and you have checked that the catheter is not inside the vagina, continue advancing the catheter slowly and gently until urine appears. Then advance the catheter another 1 to 2 inches to be sure the tip is fully inside the bladder before inflating the balloon. Do not force it if you meet resistance. The correct steps for obtaining a urine sample from a closed system are which of the following? a. Disconnect the collection bag from the drainage tubing, cleanse the end of the tube with an aseptic solution, and allow urine to flow from the tube into a specimen bottle. b. Collect 5 to 10 mL of urine from the collection bag into a sterile specimen container before emptying urine from the collection bag into the commode. c. Allow all the urine to collect in the bag and then empty the bag and collect urine from the collection port. - CORRECT ANSWER-b. Collect 5 to 10 mL of urine from the collection bag into a sterile specimen container before emptying urine from the collection bag into the commode. As you are cleaning the catheter, you note that the area is wet and erythematous. It appears that urine is leaking from around the catheter's insertion site. You also note some bladder distention. Which of the following actions should you take first? a. Deflate the balloon and remove the catheter. b. Call the provider and notify the charge nurse of your findings. c. Examine the catheter and the drainage tube along their entire path. - CORRECT ANSWER-c. Examine the catheter and the drainage tube along their entire path. This is the least invasive action and you should do this first, The situation you encounters might very well be due to kinks or obstruction sin the tubing. Examining the path of the urine from the client to the bag is a good way to check for this. Your client's provider orders daily bladder irrigation to clear the urine of bacterial debris and blood clots. You follow protocol and attach a Y tube to the catheter and start bladder irrigation. The irrigant solution flows easily into the bladder, but shortly after you begin, the client reports lower abdominal pain and cramping. Which of the following actions should you take next? a. Slow the irrigant solution and continue the procedure. b. Stop the procedure and evaluate for an occlusion. c. Assure the client that some discomfort is expected with this procedure. d. Hasten the procedure by increasing the rate of flow of the irrigant. - CORRECT ANSWER-b. Stop the procedure and evaluate for an occlusion. Which of the following clients should you manage first? a. The client with a spinal cord injury who has sediment in their urinary drainage bag. b. The client newly admitted to the unit after kidney surgery with bloody urine output. c. The client that is reporting pressure around their bladder.