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Fundamentals exam
Total Questions : 40
Showing 10 questions, Sign in for moreThe patient reports feeling an urge to urinate even though an indwelling urinary catheter is in place. Which is the priority action of the nurse?
The nurse is discontinuing the patient's indwelling urinary catheter. The catheter is not easily withdrawn after the balloon is deflated. Which is the appropriate nursing action?
The home care nurse is caring for a patient with an indwelling urinary catheter after spinal cord The catheter is patent with clear yellow urine after being in place for 8 weeks. Which is the ap action of the nurse?
A patient with a Foley catheter inserted 3 days ago needs a urine sample for culture and sensitivity. What is the appropriate action for the nurse to take?
The patient has a catheter that must be irrigated. The nurse is using a needleless closed irrigation technique. In which order will the nurse perform the steps, starting with the first one?
Explanation
A. Clean injection port:
This is done after clamping and before connecting the syringe to prevent introducing infection.
B. Inject prescribed solution:
Done only after the syringe is connected to the port.
C. Twist needleless syringe into port:
This ensures a secure and sterile connection before irrigation.
D. Remove clamp and allow to drain:
This step ensures the irrigant and urine can flow out properly after irrigation.
E. Clamp catheter just below specimen port:
Done early to allow retention of solution during irrigation and prevent backflow.
F. Draw up prescribed amount of sterile solution ordered:
First step—preparing the exact amount of irrigation fluid needed.
What allergies should the nurse assess for before inserting a catheter in a patient? (Select all that apply)
Which nursing actions will the nurse implement when collecting a urine specimen from a patient? (Select all that apply.)
Which findings should the nurse follow up on after removal of a catheter from a patient? (Select all that apply)
Put the following steps for catheter insertion in order.
Explanation
a. Gather supplies:
Needed after verifying the order to ensure all equipment is available for a sterile procedure.
b. Obtain urine specimen:
Done after insertion of the catheter once urine is seen in the tubing.
c. Review the physician order:
Always the first step-you must ensure there is a valid order before performing a procedure.
d. Secure the bag to leg:
This is the last step to prevent pulling on the catheter and ensure patient comfort.
e. Perform pericare:
Perineal care helps reduce the risk of infection and is done before insertion.
The nurse understands the best way to reduce catheter-associated urinary tract infections (CAUTIs) in long term indwelling catheters is to do what?
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