SL #10 Quiz (catheters)

Question 1

When removing the urinary catheter, the nurse meets resistance. The nurse should:

a. ) Ask the patient to push as if voiding and then pull gently on the catheter
b. ) Notify the practitioner
c. ) Reinflate the balloon and then deflate it again
d. ) Stop pulling the catheter and check the balloon to see if it has been deflated completely

Answer 1

d.) Stop pulling the catheter and check the balloon to see if it has been deflated completely

Question 2

After removing an indwelling catheter, the nurse should expect all of the following EXCEPT:

a. ) Patient verbalizes feeling of comfort after procedure is
b. ) completed Patient voids without discomfort
c. ) Urethral meatus is free of secretions
d. ) Urethral irritation is present

Answer 2

d.) Urethral irritation is present

Question 3

The nurse should understand that removing a urinary catheter without completely deflating the balloon may cause:

a. ) Bleeding and trauma
b. ) Concentrated urine and odor
c. ) Fever and malaise
d. ) Nausea and vomiting

Answer 3

a.) Bleeding and trauma

Question 4

When inserting a urinary catheter in a male patient, the nurse feels resistance. The nurse should:

a. ) Discontinue the procedure and notify the practitioner
b. ) Inflate the balloon and observe for urine drainage
c. ) Straighten the penis and continue to insert the catheter firmly
d. ) Wait for a short period, allowing the prostatic sphincter to relax and then advance the catheter

Answer 4

d.) Wait for a short period, allowing the prostatic sphincter to relax and then advance the catheter

Question 5

For a male patient, the indwelling urinary catheter should be secured:

a. ) By using a Velcro strap and securing the tubing to the side rails
b. ) To the inner thigh with a strip of nonallergenic tape
c. ) To the top of thigh with a commercial catheter anchoring device
d. ) To the lower abdomen with the penis directed toward the leg

Answer 5

c.) To the top of thigh with a commercial catheter anchoring device

Question 6

After advancing the catheter and beginning to inflate the balloon, the patient complains of severe discomfort. The nurse should:

a. ) Advance the catheter about 3 cm and then complete inflation
b. ) Explain to the patient that this discomfort is normal and should stop shortly
c. ) Finish inflation and then move the catheter slightly back into the bladder
d. ) Stop inflation and gently aspirate any fluid injected into the balloon

Answer 6

d.) Stop inflation and gently aspirate any fluid injected into the balloon

Question 7

To keep urine flowing freely into the drainage bag and prevent infection:

a. ) The catheter should be routinely disconnected from the drainage tubing and emptied into a container
b. ) The bag should be hung from the lowest point of the bed
c. ) The bag should be hung from the side rail
d. ) The tubing should be stretched to the bottom of the bed to ensure that there are no kinks

Answer 7

b.) The bag should be hung from the lowest point of the bed