Urinary Catheter Care Flashcards

1
Q

Which of the following actions should a nurse take when removing a patient’s indwelling urinary catheter?

Pull the catheter out as quickly as possible

Deflate the balloon completely before removal

Make sure the patient has voided within 12 hr post removal

Tell the patient to expect to feel a tugging sensation on removal

A

Deflate the balloon completely before removal

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2
Q

When providing perineal care for a female patient who has an indwelling urinary catheter, which of the following areas should the nurse cleanse last?

The urethral meatus

The labia minora

The perineum

The anus

A

The anus

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3
Q

A nurse who is preparing to insert a stright urinary catheter for a male patient should

Grasp the penis at its base

Apply light traction to the penis

Hold the penis parallel to the patient’s body

Lift the penis to a 45 degree angle to the patient’s body

A

Apply light traction to the penis

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4
Q

A nurse is applying a condom catheter for an older adult patient who is uncircumcised. Which of the following is an appropriate step in the procedure?

Stretching the catheter along the length of the penis

Securing the catheter with adhesive tape

Leaving a space between the penis and catheter’s tip

Repositioning the foreskin after application

A

Leaving a space between the penis and catheter’s tip

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5
Q

A nurse is assessing a patient’s indwelling urinary catheter drainage at the end of the shift and notes the output is considerably less than the fluid intake. Which of the following actions should the nurse take first after checking for kinks?

Irrigate the catheter

Assess for peripheral edema

Palpate for bladder distention

Milk the catheter

A

Milk the catheter

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6
Q

A nurse is preparing to insert an indwelling urinary catheter for a female patient. When beginning the insertion procedure, the nurse should instruct the patient to

Bear down

Take deep breaths

Sip water

Hold her breath

A

Bear down

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7
Q

A nurse is planning on obtaining a urinary specimen from a patient’s closed urinary system. Identify the sequence of steps the nurse should take

Insert a 10 mL syringe and needle into the port

Transfer the urine to a sterile specimen container

Withdraw 5 mL of urine

Wipe the port with an alcohol swab

Transport the specimen to the laboratory

A

Wipe the port with an alcohol swab

Insert a 10 mL syringe and needle into the port

Withdraw 5 mL of urine

Transfer the urine to a sterile specimen container

Transport the specimen to the laboratory

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8
Q

A nurse is likely to receive an order for urinary catheterization of a newly admitted patient who

Has a persistent urinary tract infection

Has urge incontinence

Is in the ICU for a gastrointestinal bleed

Is incontinent due to cognitive decline

A

Is in the ICU for a gastrointestinal bleed

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