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Exam (elaborations)

ATI URINARY ELIMINATION COMPLETE EXAMS

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ATI URINARY ELIMINATION COMPLETE EXAMS A nurse is preparing to remove a client's indwelling urinary catheter. Which of the following actions should the nurse take? A. Pull the catheter out as quickly as possible. B. Deflate the balloon completely before removal. C. Cut the inflation port to deflate the balloon. D. Tell the client to expect to feel a tugging sensation on removal. - CORRECT ANSWER-B. Deflate the balloon completely before removal. A nurse is planning to obtain a urinary specimen from a client's closed urinary system. Identify the correct sequence of steps that the nurse should take. Withdraw 3 to 30 ml of urine. Wipe the port with an alcohol swab or agency-specified antiseptic. Transport the specimen to the lab. Attach a syringe to the collection port of the indwelling catheter. Transfer the urine to a sterile specimen container. - CORRECT ANSWER-1. Wipe the port with an alcohol swab or agency-specified antiseptic. 2. Attach a syringe to the collection port of the indwelling catheter. 3. Withdraw 3 to 30 ml of urine. 4. Transfer the urine to a sterile specimen container. 5. Transport the specimen to the lab. A nurse is applying a condom catheter for a client who is uncircumcised. Which of the following actions should the nurse take? A. Stretch the sheath portion of the condom catheter along the length of the penis. B. Secure the sheath portion with adhesive tape. C. Leave a space between the penis and sheath portion tip. D. Reposition the foreskin after application. - CORRECT ANSWER-C. Leave a space between the penis and sheath portion tip. A nurse is preparing to insert an indwelling urinary catheter. Which of the following actions should the nurse instruct the client to perform during the insertion procedure? A. Bear down B. Take deep breaths C. Sip water D. Tighten the perineum. - CORRECT ANSWER-A. Bear down A nurse is preparing a male client for intermittent urethral catheterization. Which of the following actions should the nurse take? A. Grasp the penis at the base. B. Lift the penis perpendicular to the body. C. Hold the penis parallel to the client's body. D. Lift the penis to a 45* angle to the client's body. - CORRECT ANSWER-B. Lift the penis perpendicular to the body. A nurse is providing perineal care for a female client who has an indwelling urinary catheter. Which of the following areas should the nurse cleanse last? A. Urethral meatus. B. Labia minora. C. Perineum. D. Anus. - CORRECT ANSWER-D. Anus. A nurse is caring for a group of newly admitted clients. For which of the clients should the nurse expect to receive a prescription for urinary catheterization? A. A client who has a persistent UTI. B. A client who has urge incontinence. C. A client who is in the ICU for a gastrointestinal bleed. D. A client who has incontinence due to cognitive decline. - CORRECT ANSWER-C. A client who is in the ICU for a gastrointestinal bleed. A nurse is assessing a client's indwelling urinary catheter drainage at the end of the shift and noticed the output is considerably less than the fluid intake. Which of the following actions should the nurse take first? A. Irrigate the catheter. B. Assess for peripheral edema. C. Palpate for bladder distension. D. Check the catheter for kinks. - CORRECT ANSWER-Check the catheter for kinks

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