| Complications |
| #1 |
What is the easiest way to prevent catheter associated UTIs? |
Proper Hand Hygiene |
| #2 |
After having transurethral resection of the prostate (TURP), a Mr. Locke returns to the unit with a three-way indwelling urinary catheter and continuous closed bladder irrigation. Which finding suggests that the client’s catheter is occluded? A) The urine in the drainage bag appears red to pink. B) The client reports bladder spasms and the urge to void. C) The normal saline irrigant is infusing at a rate of 50 drops/minute. D) About 1,000 ml of irrigant have been instilled; 1,200 ml of drainage have been returned. |
B. The client reports bladder spasms and the urge to void. Reports of bladder spasms and the urge to void suggest that a blood clot may be occluding the catheter. After TURP, urine normally appears red to pink, and normal saline irrigant usually is infused at a rate of 40 to 60 drops/minute or according to facility protocol. The amount of returned fluid (1,200 ml) should correspond to the amount of instilled fluid, plus the client’s urine output (1,000 ml + 200 ml), which reflects catheter patency |
| #3 |
Anticolinergics, antidepressants, antiparkinsonism drugs,antihistamine preparations, antihypertensives, opioids cause _________ |
Urinary Retention |
| #4 |
The patient has cystitis, the nurse should further assess the client for? |
Foul-smelling urine |
| #5 |
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| Patient Education and Assessment |
| #1 |
When a female client with an indwelling Foley catheter insists on walking to the hospital lobby to visit family members, the nurse teaches how to do this without compromising the catheter. Which client action indicates an accurate understanding of this information? A)Client sets the drainage bag on the floor while sitting down B)The client keeps the drainage bag below the bladder at all times C)The clients clamps the catheter drainge tubing while visiting the family D)Client loops drainage lubing below the point of entry into the drainage bag |
B. The client keeps the drainage bag below the bladder at all times |
| #2 |
Which of the following statements indicates a need for further teaching of the home care client with a long term indwelling catheter? A)I will keep the collection bag below the level of the bladder at all times B) Intake of cranberry juice, may help decrease the risk of infection C) Soaking in the warm tub bath may decrease the irritation associated with the catheter D) I should use clean technique when emptying the collection bag |
B. Intake of cranberry juice, may help decrease the risk of infection |
| #3 |
Nurse Myrna is inserting a urinary catheter into a client who is extremely anxious about the procedure. The nurse can facilitate the insertion by asking the client to: A) initiate a stream of urine. B) breathe deeply. C) turn to the side. D) hold the labia or shaft of #!!##!!##!!##!!##!!#. |
B. breathe deeply. When inserting a urinary catheter, facilitate insertion by asking the client to breathe deeply. Doing this will relax the urinary sphincter. Initiating a stream of urine isn’t recommended during catheter insertion. Turning to the side or holding the labia or #!!##!!##!!##!!##!!# won’t ease insertion, and doing so may contaminate the sterile field. |
| #4 |
After a radical prostatectomy for prostate cancer, a client has an indwelling catheter removed. The client then begins to have periods of incontinence. During the postoperative period, which intervention should be implemented first? A)Self Catheterization B)Fluid restriction C)Kegel exercises D)Artificial sphincter use |
C. Kegel exercises are noninvasive and are recommended as the initial intervention for incontinence. Fluid restriction is useful for the client with increased detrusor contraction related to acidic urine. Artificial sphincter use isnt a primary intervention for post-prostatectomy incontinence. Self catheterization may be used as a temporary measure but isnt a primary intervention.) |
| #5 |
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