Urinary (ch 45) Flashcards
A dependent, confused patient is being given a bedpan. How can the nurse best ensure the patient’s safety?
Raise the side rails on the bed before leaving the room.
After assisting with a bedpan, the nurse notes that the patient’s stool is streaked with bright-red blood. What would the nurse do first?
Ask if the patient has a history of hemorrhoids.
Which instruction might the nurse give to nursing assistive personnel (NAP) about applying a condom catheter on a patient?
“Read the manufacturer’s instructions for applying the adhesive to secure the condom.”
How many enemas can be adminstered before fluid and electrolyte imbalances occur?
3
Which action would the nurse take to reduce the risk for a catheter-associated urinary tract infection (CAUTI) in a patient with an indwelling urinary catheter?
Use the smallest-size catheter possible.
When preparing to insert an indwelling urinary catheter in a male patient, it is important for the nurse to do what?
Lubricate the first 5 to 7 inches of the catheter.
Which instruction might the nurse give to nursing assistive personnel (NAP) helping to care for a patient receiving bladder irrigation?
“Measure and report the patient’s temperature to me every 4 hours.”
Which action would the nurse take to manage continuous urinary catheter irrigation for a patient whose urine is bright red and contains clots?
Increase the irrigation drip rate.
The nurse has completed an intermittent straight urinary catheterization of a female patient. Which action would the nurse delegate to nursing assistive personnel (NAP)?
Measure and empty the urine.
Which action will ensure that a sterile urine specimen is handled properly in order to help obtain reliable results?
Having someone take the specimen to the lab immediately
When collecting a urine specimen from an indwelling urinary catheter, which action is most likely to ensure that sufficient urine is collected?
Clamping the catheter tubing for 15 minutes before collection
Which action would best minimize a patient’s risk for infection during removal of an indwelling urinary catheter?
The nurse or nursing assistive personnel (NAP) removing the catheter must employ clean technique.
Which action is necessary for an accurate chemical reaction when testing urine with a reagent test strip?
Keep the test strip horizontal while timing the process.
Which statement will the nurse make to nursing assistive personnel (NAP) when delegating urine glucose testing with a reagent strip for a patient with type 2 diabetes?
“Don’t forget to get a double-voided specimen when you test the patient’s urine.”
What is a double-voided urine specimen?
A second urine specimen taken about 30 minutes after the patient voids
