A nurse is performing frequent catheterizations for residual urine. What causes the greatest concern for the nurse?
Introduction of pathogens into the bladder
Frequent genital exposure of the patient
Presence of the indwelling catheter
Causing urethral erosion
The Correct Answer is A
A. Introduction of pathogens into the bladder: Repeated catheterizations significantly increase the risk of introducing pathogens, leading to urinary tract infections.
B. Frequent genital exposure of the patient: While exposure may be uncomfortable for the patient, it is not the greatest concern.
C. Presence of the indwelling catheter: This question refers to frequent catheterizations, not an indwelling catheter, though both carry infection risks.
D. Causing urethral erosion: Urethral trauma can occur but is less concerning than infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Inject the ordered amount of heparin into the fistula: Heparin is not used to treat occlusion in a fistula without specific orders or a proper diagnostic workup.
B. Apply warm compresses and lower the arm below the heart level: These interventions are not effective for resolving an absent trill in an AV fistula.
C. Send the patient to dialysis for remedy: The absence of a trill requires immediate assessment before considering dialysis treatment.
D. Report to the charge nurse that the fistula is occluded: An absent trill may indicate occlusion or thrombosis of the AV fistula, which requires urgent evaluation and intervention.
Correct Answer is D
Explanation
A. The antibiotic protocol is completed: While antibiotics may be used for secondary infections, they are not directly related to lifting activity restrictions.
B. Potassium levels are normal: Potassium levels are relevant to kidney function but do not dictate bed rest.
C. Dialysis starts: Dialysis is not typically required in acute glomerulonephritis unless there is severe kidney failure.
D. Blood pressure drops to normal levels: In acute glomerulonephritis, hypertension is a common complication, and activity is often restricted until blood pressure stabilizes.
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