The nurse is reviewing discharge instructions for a patient with a spinal cord injury to T-10 going home with an indwelling urinary catheter.
What would the nurse emphasize about catheter care? (Select All that Apply.)

You will have weekly appointments at the physician's office to change the catheter.

Sexual intimacy is not recommended with a catheter.

Underwear should not be worn with any catheter.

You will need to empty your leg bag every 4 hours or more frequently, depending on your oral intake.

Foul-smelling, cloudy urine should be reported to the physician immediately.

Answer and Explanation

Correct Answer : D,E

Choice A rationale

Weekly appointments to change the catheter are unnecessary unless specifically indicated. Most urinary catheters are changed monthly or as needed based on physician's discretion or complications.

Choice B rationale

Sexual intimacy is possible with an indwelling urinary catheter if handled properly. Providing education on safe practices promotes normalcy and quality of life for the patient.

Choice C rationale

Wearing underwear is recommended to protect the catheter and minimize risk of contamination or accidental dislodgement. This information supports proper hygiene and comfort.

Choice D rationale

Regular emptying of the leg bag every 4 hours or more frequently prevents overfilling, which could lead to backflow and increased risk of urinary tract infections.

Choice E rationale

Foul-smelling, cloudy urine can indicate infection such as a urinary tract infection. Prompt reporting ensures early treatment and prevention of complications.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

Choice A rationale

Crossing the lower extremities and turning the hips and shoulders separately risks twisting or misalignment of the spinal column, which is contraindicated in spinal cord injury patients.

Choice B rationale

Asking the patient to assist by grasping the side rail is inappropriate as it may worsen the injury or result in unsafe movement, especially if the spinal cord is unstable.

Choice C rationale

Moving the patient independently with a draw sheet is unsafe due to the risk of misalignment or additional spinal damage, necessitating assistance and a coordinated approach.

Choice D rationale

Log rolling with one person holding the head and two others moving the body ensures spinal alignment and minimizes further injury during repositioning of spinal cord injury patients.

A. My diet will include more unsaturated fats and low carbohydrates. B. My diet will include increased amounts of carbohydrates and protein. C. My diet will include moderate amounts of protein and omega-3 oils. D. My diet will include foods rich in sodium and carbohydrates.

Correct Answer is A

Explanation

Choice A rationale

A ketogenic diet includes high fats, moderate protein, and low carbohydrates, with unsaturated fats emphasized for health. This metabolic state reduces seizure frequency by enhancing ketone production as an alternative energy source for the brain.

Choice B rationale

Increasing carbohydrates disrupts ketosis, the fundamental principle of the ketogenic diet. This would counteract the therapeutic goal of reducing seizure activity by providing glucose as a primary brain fuel instead of ketones.

Choice C rationale

While omega-3 oils support brain health, the ketogenic diet focuses on low carbohydrate intake and high fat. Moderate protein intake is essential, but excess omega-3 emphasis neglects the diet’s structure.

Choice D rationale

Foods high in sodium and carbohydrates contradict the ketogenic diet's principles. Elevated carbohydrate intake halts ketosis, while excess sodium intake is unrelated to ketogenic mechanisms or seizure management.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse is reviewing discharge instructions for a patient with a spinal cord injury to T-10 going home with an indwelling urinary catheter.What would the nurse emphasize about catheter care? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing to turn the patient who sustained a spinal cord injury.How should the nurse proceed?

Correct Answer is D

Explanation

The client who is diagnosed with a seizure disorder is prescribed a ketogenic diet.The nurse knows that the client understands the teaching when they state:

Correct Answer is A

Explanation

A 78-year-old client is admitted to the Emergency Department with numbness and weakness of the right arm and slurred speech.Which nursing intervention is a priority?

The nurse recognizes that teaching a client to wash the hands after using the bathroom is an attempt to break the chain of infection between the:

The nurse is caring for a client who has had a stroke and who has received tissue plasminogen activator (t-P

The nurse is caring for a trauma patient with a suspected brain injury and Battle's Sign.The nurse notices a yellow stain around fluid dripping from the patient's ear.The nurse's priority intervention will be as follows:

A client with a severe stroke has been prescribed enteral feedings via a jejunostomy tube.For safe administration, the nurse should:

To decrease intraocular pressure following cataract surgery, the nurse should instruct the client to avoid:

A client with an intracranial aneurysm that resulted in a cerebral bleed is to be discharged to a rehabilitation facility.Which of the following rehabilitation outcomes would be appropriate for this client?

The nurse is reviewing discharge instructions for a patient with a spinal cord injury to T-10 going home with an indwelling urinary catheter.What would the nurse emphasize about catheter care? (Select All that Apply.)

The nurse is reviewing discharge instructions for a patient with a spinal cord injury to T-10 going home with an indwelling urinary catheter.
What would the nurse emphasize about catheter care? (Select All that Apply.)