The client asks the nurse "Why is it necessary to secure the indwelling urinary catheter to my thigh?" The nurse's best response would be. "It is Important to prevent:

urinary leakage around the catheter."

fecal matter from entering your bladder."

injury to your urethra."

the catheter from slipping out of your bladder."

Answer and Explanation

The Correct Answer is A

A. Urinary leakage around the catheter: Securing the indwelling urinary catheter to the thigh helps prevent urinary leakage around the catheter site. Catheter movement or dislodgement can lead to leakage of urine around the catheter, which can cause skin irritation, increase the risk of urinary tract infections (UTIs), and compromise hygiene. Securing the catheter to the thigh helps maintain its position and prevents movement that could contribute to leakage.

B. Fecal matter from entering your bladder: While securing the catheter can help maintain proper positioning and prevent movement, its primary purpose is not to prevent fecal matter from entering the bladder. Indwelling urinary catheters are inserted into the bladder through the urethra, and proper catheter placement and hygiene practices are essential for preventing contamination of the urinary tract with fecal matter.

C. Injury to your urethra: Securing the catheter to the thigh does not directly prevent injury to the urethra. Proper insertion technique and appropriate catheter size selection are more critical for preventing urethral injury during catheterization. Securing the catheter primarily aims to maintain its position and prevent movement that could potentially cause discomfort or complications.

D. The catheter from slipping out of your bladder: While securing the catheter can help prevent inadvertent dislodgement, its primary purpose is not to prevent the catheter from slipping out of the bladder. Proper catheter securement techniques, including securing it to the thigh or using catheter stabilization devices, help maintain the catheter's position and minimize movement, reducing the risk of accidental removal.

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Correct Answer is B

Explanation

A. Asking the client to bear down as if urinating: This action is not appropriate in this situation because the lack of urine output may not necessarily be due to the client's inability to void. Checking for other potential issues, such as kinks in the tubing, is more appropriate as a first step.

B. Check for kinks in the tubing: This is the most appropriate first action. Kinks in the tubing can obstruct urine flow from the bladder to the drainage bag, leading to decreased or no urine output. By checking for kinks, the nurse can quickly identify and correct any obstructions, potentially resolving the issue without further intervention.

C. Increasing fluid intake: While maintaining adequate hydration is important for overall urinary function, it is not the most immediate action needed when there is no urine output in the catheter bag. Addressing potential mechanical issues, such as kinks in the tubing, takes precedence.

D. Inserting a new indwelling urinary catheter: Inserting a new catheter should not be the first action taken without investigating other potential causes for the lack of urine output. It is important to troubleshoot and address possible issues with the current catheter and drainage system before considering catheter replacement.

A. Is aware that some health problems affect clients from various social levels. B. Does safe, research-based interventions for clients. C. Ensures equal treatment & access to care regardless of clients' background. D. Collects data about unique needs of individual clients prior to planning care.

Correct Answer is C

Explanation

A. Is aware that some health problems affect clients from various social levels: While being aware of health disparities related to social factors is important for providing comprehensive care, it does not fully capture the professional value of social justice. Social justice involves more than just awareness; it entails taking action to address inequalities and ensure fair treatment and access to care for all individuals, regardless of their background.

B. Does safe, research-based interventions for clients: While providing safe, evidence-based interventions is a fundamental aspect of nursing practice, it does not directly relate to the professional value of social justice. Social justice focuses on addressing systemic barriers and inequalities in healthcare to ensure equitable treatment and access for all individuals, rather than solely on the delivery of interventions.

C. Ensures equal treatment & access to care regardless of clients' background: This option best describes the professional value of social justice. Nurses who uphold social justice advocate for fair and equal treatment of all individuals, regardless of factors such as socioeconomic status, race, ethnicity, gender, or sexual orientation. They work to identify and address systemic barriers that contribute to health disparities and advocate for policies and practices that promote equitable access to healthcare services.

D. Collects data about unique needs of individual clients prior to planning care: While collecting data about clients' unique needs is essential for providing individualized care, it does not directly relate to the professional value of social justice. Social justice focuses on broader systemic issues and ensuring fair treatment and access to care for all individuals, rather than solely on individualized care planning.

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The client asks the nurse "Why is it necessary to secure the indwelling urinary catheter to my thigh?" The nurse's best response would be. "It is Important to prevent:

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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