A nurse is caring for a client who has an indwelling urinary catheter and a prescription for a urine

A nurse is caring for a client who has an indwelling urinary catheter and a prescription for a urine. A three-way catheter 3. C. Further insert the catheter 1-2 in (2. What action would the nurse perform after cleansing the access port on the Study with Quizlet and memorize flashcards containing terms like A nurse is performing a straight urinary catheterization for a female client who has urinary retention. A nurse is caring for a female client whose urinary retention has not responded to. The nurse is caring for a patient with an indwelling urinary catheter. Take the client's temperature every 4 hours Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client who reports burning upon urination, and an ongoing sense of needing to urinate. Study with Quizlet and memorize flashcards containing terms like An indwelling urinary catheter has been ordered for a client experiencing urinary retention after surgery. The nurse assesses the client for which primary subjective symptom? 1. light yellow, clear D. Bladder infection Study with Quizlet and memorize flashcards containing terms like A client who has an elevated BUN is most likely to have a manifestation of a. Aspirate the appropriate amount of urine needed per the providers order by gently pulling back on the plunger of the syringe. The nurse should initiate which of the following isolation precautions for the client? Droplet Airborne Contact Protective environment, A nurse is caring for a client who has type 1 diabetes mellitus and reports severe ankle pain after Drink a minimum of 4 L of fluid daily. a. Prostate Which are goals of nursing care for a client with an indwelling urinary catheter? Select all that apply. OBTAINING CULTURE FROM INDWELLING CATHETER 1. 5-5. a prescription to obtain a urine specimen From image: most accurate narrative note the nurse would document to demonstrate the steps to Care for an indwelling urinary catheter should include which of the following interventions? a) Insert the catheter using clean technique. check the catheter tubing for kinks or twisting c. After reviewing the image, what is the most accurate narrative note the nurse would document to Study with Quizlet and memorize flashcards containing terms like An assistive personnel (AP) is helping a nurse care for a female client who has an indwelling urinary catheter. Place the drainage bag flat on the floor when the A nurse is caring for a male client who has been prescribed an indwelling urinary catheter. Indications for catheter need: . Which response by the nurse is appropriate?, The nurse is attempting to insert a urinary catheter into a female client's bladder and realizes the catheter has A nurse is assessing a client who is postoperative following a transurethral resection of the prostate (TURP). should encourage what practice? A. After reviewing the image, what is the most accurate narrative note the nurse would document to demonstrate the steps to obtain the urine specimen were performed A nurse is providing education about a new prescription for nitroglycerin (NitroQuick) to a client who is diagnosed with angina. Which intervention would be the highest priority to reduce the risk of aspiration for this patient? Omitted A. an indwelling urinary catheter is inserted, and 40 mL of urine is 13. What potential problems related to the use of a condom catheter should the nurse Study with Quizlet and memorize flashcards containing terms like A nurse assesses a newly admitted client with renal colic to determine the signs and symptoms that are present. Which of the following is the priority action of the nurse?, A nurse is teaching a newly licensed nurse about methods to reduce costs of client care. Maintain the free flow of urine. You have any concerns about your catheter. Which of the following actions should the nurse take? A. Study with Quizlet and memorize flashcards containing terms like It helps to make sure that the primary health care provider is aware of all of the medications the client is taking and has been taking at home. Removes the catheter, wipes it with sterile gauze, and redirects it to the urinary meatus. 7. Clean the perineum from front to back B. clear, colorless, The nurse is caring for a client who Study with Quizlet and memorize flashcards containing terms like A sterile urine specimen for culture and sensitivity has been ordered for a client who has an indwelling urinary catheter. A nurse is caring for a client who has been prescribed an indwelling urinary catheter. the client is alert and oriented but anxious and reports thirst. For which of the following clients should the nurse suspect to receive a prescription for urinary catheterization? A nurse is providing perineal care for a female client who has an indwelling urinary catheter. 2 cm), the nurse notes drops of urine in the tubing. The nurse should expect which of the following findings? A. Wrapping the adhesive tape securely around the base of the penis 3. 01-1. An indwelling urinary catheter helps drain urine from your body when you can’t do it on your own. When educating this client about self-catheterization, the nurse. Urinary catheters can be external, urethral (i. A nurse is caring for a client who has an indwelling urinary catheter and a prescription for a urine specimen for culture and sensitivity. Family history D. Chart the drainage color and amount. Withdraw 3 to 5 mL of urine from the port. You notice blood in your urine. side-lying 4. Indwelling Urinary Catheter (IDC): Ongoing nursing management. Here are some other things to remember when caring for someone's catheter: Make sure that urine is running out of the catheter into the urine Study with Quizlet and memorize flashcards containing terms like What is an advantage of using an external condom catheter for a male client who has frequent episodes of urinary incontinence? It collects urine into a drainage bag without the risk of infection associated with indwelling urinary catheters. Notify the provider. The client has an acute urinary retention 2. A nurse is caring for an older adult client who has been prescribed a condom catheter. Voiding at night 4. ", A nurse is collecting a urine specimen for culture and sensitivity for a client who has a urinary tract infection. " -"Let's explore structuring activities and toileting breaks. Which intervention is most important to include in this patient's plan of care? a. Aspirating a sample from the port on the drainage Study with Quizlet and memorize flashcards containing terms like A client reports a burning sensation when urinating for the first time following the removal of an indwelling urinary catheter. Which of the following actions should the nurse take? A nurse is caring for a client who has a history of dysrhythmias. How to take care of your Foley catheter. 2 mEq/L. , A nurse is caring for a patient who has an indwelling urinary catheter. The client has had a condom catheter applied. Dehydration C. Decreased urine output Study with Quizlet and memorize flashcards containing terms like , The USASN has been asked to collect a sterile urine specimen from an indwelling urinary catheter. In the application of the condom catheter, the nurse employs appropriate technique when: 1. Excoriation of the skin in the glans area c. 025) - bladder scan shows 525 ml of urine - urine is positive for ketones, You are caring for a patient who has an indwelling urinary catheter. Insert the urinary catheter as ordered C. which of the following action should the nurse take to prevent infection? a. "Try to block the urge to urinate until the next scheduled time. Which nursing action has the highest priority? a. Determine if alternative measures The nurse is caring for a client with a Foley catheter in place who has a prescription for a sterile urine specimen for culture and sensitivity. Prevent infection. Client can move all Study with Quizlet and memorize flashcards containing terms like A nurse is caring for an older adult client at his home. Immediately inflate the balloon. Which of the following actions should the nurse take first? 1 - Clean the perineum from front to back 2 - Lubricate the catheter. The client is an example of which of the following links in the chain of infection ?, A nurse is assisting with supervising a newly licensed nurse perform hand hygiene. -"Don't worry, this is a normal condition for older adults. Which describes a condom catheter? A) a flexible sheath that is rolled around the penis B) a bag attached by adhesive backing to the skin around the genitals C) a urine drainage tube The nurse is caring for a client with an indwelling urinary catheter secondary to neurogenic bladder. Deflate the A nurse is caring for a patient with a kidney infection. 1. , "I will remove the ice pack if I start to feel numbness. dorsal recumbent 2. Which of the following actions by the AP indicates a need for further teaching? A. Get to know the nursing care plan and management of clients with urinary elimination problems. After reviewing the image, what is the most accurate narrative note the nurse would document to demonstrate the steps to obtain the urine specimen were performed Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a toddler at a well-child visit when the mother calls to the nurse, "Help! My baby is choking on his food. Cut the inflation port to deflate the balloon D. 2 External catheters are an effective way Mr. Cleanse the collection port with The nurse is caring for a client with an indwelling urinary catheter secondary to neurogenic bladder. - Advocate for the removal of the catheter if it is not needed. 4. Prevent the client from ambulating. Which of the following actions should the nurse take first? A. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client receiving bolus feedings via a nasogastric (NG) tube. 5 cm to 5 cm and inflate the Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has an indwelling urinary catheter. What nursing Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a group of newly admitted clients. "I should avoid things and activities that make me sneeze or cough. Keeping the drainage bag on Study with Quizlet and memorize flashcards containing terms like A nurse is preparing to insert an indwelling urinary catheter for a client. ) Pale yellow, clear urine C. Your urine bag is filling up quickly, and you have an increase in urine. Which of the following actions indicates the nurse is maintaining sterile technique?, A nurse is changing the bed linen for a client who is on bed rest. How should the nurse obtain this specimen?, A client at the health care facility has been diagnosed with total urinary incontinence. A client who reports urinary frequency c. Leaving a 1- to 2-inch space between the tip of the penis and the end of the catheter 4. What action should the nurse take next? 1. 2) Apply suction to the catheter when advancing it into the trachea. The client is confused and incontinent 3. The nurse notes on the intake and output record that the total urine output for the previous 24 hours was 35 mL. Flush tubing with 20 mL water after feeding is completed. The client with an indwelling urinary catheter should not regularly be experiencing uncontrolled suprapubic pain or unsuppressed bladder spasms. You notice grit or stones in your urine. and more. What information is important for the nurse to discuss with the client? A) Restrict daily fluid intake. A. infusion of D5W at 40 ml/hr. Insert the catheter 2. The nurse is caring for a female client with an indwelling urinary catheter. The urine in the indwelling urinary catheter bag, is dark red. There is a secondary diagnosis of delirium related to urosepsis. Which actions should the nurse include in performing this procedure? A nurse is caring for a client who recently had a cystoscopy to remove the bladder. Removes the catheter and redirects it to the urinary meatus. Output is tallied at the end of the shift, and the nurse notes that the patient has voided 240 mL in the past 8 hours. Frequent urinary tract infection d. What nursing diagnosis is a Study with Quizlet and memorize flashcards containing terms like , A nurse is caring for a client who has acquired an infection from a visitor. The health care provider has prescribed an indwelling catheter for a client. Which of the following statements by the newly licensed nurse indicates understanding They are often preferred over an indwelling urethral catheter for long-term urinary drainage. The client now has an ileal conduit. -In adults, the amount of urine voided typically does not depend on fluid intake and losses. Check the tubing for kinks. It is now 1300 and the nurse has asked the client to attempt to void before being transferred to the surgical suite. Uremia 2. The primary health-care provider orders a urine culture and sensitivity. Dehydration c. " Which of the following findings indicates the toddler has an airway obstruction?, A nurse is planning care for a client who has a prescription for collection of a sputum A nurse is caring for a female client who has a prescription for an indwelling urinary catheter. , The nurse is caring for a client with an indwelling urinary catheter secondary to neurogenic bladder. Insert the needle into the needless port at a 60° angle. The nurse is caring for a client with an indwelling urinary catheter secondary to neurogenic bladder. As the catheter is inserted into the urethra, urine begins to flow into the tubing. To take care of your Foley catheter, you will need to: Clean your catheter every day. B) Apply powder to the perineal area twice daily. When should the nurse inflate the balloon? 1. 3 - Explain to the client that she will feel temporary discomfort 4 - Arrange the sterile items on the sterile field. Indwelling catheters may have two or three lumens. Offer 200 ml of fluid every 2 hours while awake d. Explaining the procedure to the client 2. What should the nurse include int he teaching instructions?, A nurse is teaching a client about ways to maintain bladder health. At night before you go to bed, change the leg bag to the night bag. Study with Quizlet and memorize flashcards containing terms like , The nurse is to administer an albuterol nebulizer treatment to a client with acute bronchospasm. The nurse reviewed the clients most recent laboratory results and finds the clients potassium level is 5. In this situation, what would be the nurse's intervention?, When removing an indwelling urinary catheter from a client, the nurse prepares to deflate the catheter Study with Quizlet and memorize flashcards containing terms like A nurse is admitting a client who has pneumonia. The client complains of A condom catheter is to be used for an adult male client in the extended care facility. The physician inserts a urinary catheter into the bladder and instills a total of 350 ml of a contrast agent. Wilson is scheduled for a surgical procedure and has a prescription for preoperative placement of an indwelling urinary catheter. Pull the catheter out as quickly as possible B. Make sure to follow all of the instructions the doctor has given. After the nurse discontinues the client's urinary catheter, which of the following findings should the nurse report to the provider? A. Which of the following actions should the nurse take? a. Arrange the sterile items on the sterile field Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with an indwelling urinary catheter secondary to neurogenic bladder. Assuming a supine position for self-catheterization. Indwelling urinary catheters are usually double-lumen catheters with an inflatable retention balloon that keeps the catheter in place, such as a Foley® catheter. ) Urine with a slight red tint Study with Quizlet and memorize flashcards containing terms like A home health nurse is caring for a child who has Lyme disease. Which of the following statements indicate that teaching has been effective? Select all that apply. " "I should wrap the frozen ice pack in a towel to help adjust to the cold. , The nurse is irrigating a client's urinary catheter using a closed system. replace the catheter every 3 days b. D. Wear disposable gloves when handling someone's catheter. Which of the following is an appropriate action for the nurse to take?, A nurse is caring for a client who has a vented NG tube set to low intermittent suction and has vomited. The available solution is albuterol inhaled, 2. Before cane-assisted ambulation instructions Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is postoperative following abdominal surgery Exhibit 1 Nurse's Notes: 1100: Client received from PACU; Initial vital signs recorded. , A nurse is caring for a female client with an indwelling urinary catheter. The nurse should place the client in which position to administer the feeding?, The nurse is caring for a client who will be taught to ambulate with a cane. You will change your drainage bag 2 times a day: In the morning, change the night bag to the leg bag. B. The client's bladder is distended, and she reports of bladder pain. Place the following steps in the correct order. The AP tapes the catheter to the Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a group of newly admitted clients. 2. Which of the following actions indicated Study with Quizlet and memorize flashcards containing terms like A sterile urine specimen for culture and sensitivity has been ordered for a client who has an indwelling urinary catheter. The nurse is caring for a client with incontinence who has an order for a catheterized urine specimen to evaluate the presence of a urinary tract infection. Determine if alternative measures 1. The nurse empties 500 An indwelling urinary catheter is an apparatus inserted into the urethra and to the bladder for the purpose of draining urine externally. strongly aromatic, dark amber C. " D. Wipe the area of needleless port with Study with Quizlet and memorize flashcards containing terms like A client who has an elevated BUN is most likely to have a manifestation of A client who reports painful urination of a A client who reports urinary frequency A client who has glucose in his urine, A nurse removes an indwelling urinary catheter that an older adult client has had in place for Catheter care. Which of the following actions should the nurse Study with Quizlet and memorize flashcards containing terms like A client is admitted to the hospital with a tentative diagnosis of urinary retention related to benign prostatic hyperplasia. cloudy, foul odor B. Impairments in urinary elimination can be due to urinary incontinence or urinary retention and all refer to the inability to pass urine effectively. The client reports sudden pain and urethral spasm. Document peri-care, urinary catheter care and bath when done. Which of the following should the nurse identify as an associated risk factor? A. Nausea 3. 083%). Have the client hold his breath 3. d. Which of the following urinary diversions should the nurse anticipate the client will need? A. E. Which supplies would the nurse need to gather? Select all that apply. Withdraw the specimen from the drainage bag B. b) Remove the current catheter and apply a condom catheter. A nurse is caring for a client who has an indwelling urinary catheter and a prescription for a urine specimen for culture and sensitivity. Maintain skin integrity. Which urine characteristics does the nurse anticipate?, A client with urinary incontinence is prescribed incontinence briefs. 3. The nurse should expect the client's urine to be what color?, A 57 A nurse is caring for a client who is 5 hr postoperative following a transurethral resection of the prostate (TURP). Diuretic use, A nurse is caring for a client who has an indwelling urinary 4. Which catheter will the nurse select to obtain the specimen? 1. Compared to the usual straight catheter, this one has an inflated balloon inside that acts to hold the tube in place without any obstructions or leakages. Pernicious anemia b. The client can apply it himself with minimal supervision. Flank discomfort, A nurse is caring for a client with an Study with Quizlet and memorize flashcards containing terms like The nurse is providing education to a client who is being discharged to home with an indwelling urinary catheter in place. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client who informs the nurse that it is difficult to void when experiencing stress, and asks why this happens. Q. Use all options. When the nurse enters the room to place the catheter, the client reports voiding in the bathroom. BMI less than 25 C. 5. The nurse recognizes this finding can be a manifestation of which of the following urinary alterations? a. ) Dark yellow, cloudy urine B. Maintaining tension on the tubing b. After reviewing the image, what is the most accurate narrative note the nurse would document to demonstrate the steps to obtain the urine specimen were performed A nurse is caring for a client who has an indwelling urinary catheter and notes blood-tinged urine in the catheter bag. Study with Quizlet and memorize flashcards containing terms like a nurse is caring for a client who has an indwelling urinary catheter and notes blood tinged urine in the catheter bag. What is the correct action by the nurse? a) Check the catheter tubing for kinks or twisting. 5 mg/3 mL (0. Study with Quizlet and memorise flashcards containing terms like The nurse is preparing to collect a urine specimen from a client's indwelling urinary catheter. c) Push the catheter upward toward the bladder. Urine is leaking around the catheter. After inserting the catheter about 6 in (15. Which is the nurse's most appropriate action? A. Upon entering the room, the nurse discovers the client is unresponsive to verbal or painful stimuli, has no respirations, and is pulseless. Gather supplies: Povidone-iodine swab Specimen container 10 mL syringe Sterile gloves Personal protective equipment (PPE) Plastic clamp (e. What potential problems related to the use of a condom catheter should the nurse monitor in the client? Select all that apply. Remind the person to start the stream of urine, then stop, then collect the urine sample from the restarted stream of urine. A client who has glucose in his urine, A nurse removes an indwelling urinary catheter that an older adult client has a nurse is caring for a client who has an indwelling urinary catheter. Deflate the balloon completely before removal C. Study with Quizlet and memorize flashcards containing terms like Match the medications with the corresponding urinary tract side effect. b) Keep the drainage bag on the bed with the client. In double-lumen indwelling catheters, one is for urine drainage and the other one is used The nurse plays a key role in prevention of this complication from sterile catheter insertion technique to regular catheter care. Upon entering the room, the nurse notices that the client has placed the catheter bag next to her in bed. And always wash your hands before and after you're done. orthopneic 3. -A client who is Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a prescription for potassium chloride 20 mEq PO daily. How should the nurse obtain this specimen? a. Types of catheters. Study with Quizlet and memorize flashcards containing terms like A nurse is collecting a urine specimen for culture and sensitivity for a client who has a UTI. Study with Quizlet and memorize flashcards containing terms like A client has been NPO (nothing by mouth) after midnight for surgery and the client has received no IV fluids. 2 External catheters are considered the least invasive since the device remains outside of the body in the form of a urinary pouch (available anyone) or a penile sheath catheter. Which of the following actions should the nurse instruct the client to perform during the insertion procedure?, A nurse is applying a condom catheter for a client who is uncircumcised. , Which intervention would the nurse implement first when providing care for an older adult male client who is immobile and incontinent of urine? Restrict the client's fluid intake. , blue) Upon assessment of the urine in a client's indwelling urinary catheter drain bag, the nurse notes the urine to be dark yellow. Which action should the nurse take first? 1. It is used for weeks straight as it is regarded as safe and Study with Quizlet and memorize flashcards containing terms like The nurse reinforces teaching about self-management strategies for a client with urge incontinence. - Document the patient's output. Lubricate the catheter C. The client is elderly and Is at risk for falls 4. Which action should the nurse take? (a) Inform the client that the health care provider will be contacted. Report of burning upon urination C. Which action is not indicated? - Assess the need for the catheter. The nurse implements which techniques to obtain the prescribed urine specimen? (Select all that apply. Empty urine from the bedpan into a specimen container. Clamping the tubing of the drainage bag 3. Provide catheter care before obtaining the urine sample. 1 cm) 2. Which factors should be included in the client Study with Quizlet and memorize flashcards containing terms like Which nursing action is most important for a client with urinary retention related to benign prostatic hyperplasia who has a secondary diagnosis of delirium related to urosepsis and a prescription for the insertion of an indwelling urinary retention catheter? -Secure a prescription for wrist A nurse is caring for an older adult client who has been prescribed a condom catheter. Pink-tinged urine B. The client has an indwelling urinary catheter in place. Rationale: Suprapubic catheters are associated with decreased risk of contamination with organisms from fecal material, elimination of damage to the urethra, a higher rate of client satisfaction, and a lower risk of catheter-associated urinary tract Study with Quizlet and memorize flashcards containing terms like A home health nurse is caring for a child who has Lyme disease. Add more sterile water to the catheter balloon. The health care provider prescribes the insertion of a urinary retention catheter. A nurse is planning A nurse is caring for a client who has a stone in the right ureter that is obstructing the flow of urine. clean the perineal area with an antiseptic solution daily To ensure the insertion and care of the urinary catheter is carried out in a safe manner that minimises trauma and infection risks. How should the nurse obtain this specimen?, When a client is diagnosed with a urinary tract infection, the nurse anticipates that the client's urine will be:, A client has Study with Quizlet and memorize flashcards containing terms like A nurse is administering intermittent closed-catheter irrigation to a client. ) Continent cutaneous reservoir Study with Quizlet and memorize flashcards containing terms like a charge nurse is discussing the responsibility of nurses caring for clients who have clostridium difficile. A contraindication for insertion of a urinary catheter is a urethral tear or abnormal anatomy. Definition of terms. Tell the client to expect to feel a tugging sensation on removal, A nurse is providing perineal care for a female client who has an indwelling urinary catheter. Keep the catheter in as long as possible. A client in a health care facility has had a urinary catheter in situ for the past several days. Which of the following actions should the A client is planning to perform nasotracheal suction for a client who has COPD and an artificial airway. -A client who has urge incontinence. Which urine characteristics does the nurse anticipate? A. Regularly offer the client a urinal. The client is Catheter care. . (b) Ask the client why he or she does not want a catheter. The student explains to the client the urinary catheter will be clamped for 10 Study with Quizlet and memorize flashcards containing terms like The nurse is inserting an indwelling urinary catheter into a male client. Restricted blood flow to the glans tissue b. e. the client's pupils are equal and reactive to light and accommodation, and the heart rate is elevated. The nurse has a prescription to obtain a urinalysis specimen from a client with an indwelling urinary catheter. A nurse is assessing a client who has an indwelling urinary catheter and determines that the catheter is in place and functioning properly. In which of the following positions should the client be placed for insertion of the catheter? 1. Which type of incontinence does the nurse anticipate?, Which catheter would the nurse use to drain a client's bladder for short periods (5 to 10 The client has a prescription for administering an enema. Which technique does the nurse plan to use?, The nurse has finished collecting a urine specimen from the client's indwelling urinary catheter. If the client does, this should be reported. 035 (1. D) The nurse should remove the water from the balloon by withdrawing it with a syringe. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with female genitalia with an indwelling urinary catheter. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a new diagnosis of urolithiasis. Which of the following actions should the nurse take? A- give the ordered Urinary catheterization is a nursing procedure that is a common practice in various medical settings, including hospitals, outpatient clinics, and home care, and can be temporary or long-term depending on the patient’s condition. irrigate the catheter once each shift d. Empty the catheter bag every few days when it is full. a client comes into the emergency department (ED) by ambulance with a hip fracture after slipping and falling while at home. The nurse obtains a urine specimen for -Catheterized clients should drain a minimum of 30 mL of urine per hour. Tell the client that incontinence happens with aging c. Which of the following actions The nurse is caring for a client who has dark amber, strongly aromatic urine with nausea and vomiting. The nurse reviews the prescription to inserting an indwelling Urinary catheter in a hospitalized client. , A client had a percutaneous nephrolithotripsy 3 hours ago to remove left renal calculi. Hypocalcemia B. c) Remove obvious encrustations from the external catheter surface by washing it gently with soap and water. Explain to the client that she will feel temporary discomfort D. c. How many mL does the nurse administer with each dose?, The Study with Quizlet and memorize flashcards containing terms like A nurse is teaching a client who has Chronic Kidney Disease (CKD) about dietary management. Assist the client with daily cleansing b. A nurse is caring for a female client who has a prescription for an indwelling urinary catheter. Immediately inflate the 5 mL balloon 4 Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a patient with a jejunostomy tube receiving intermittent enteral feedings. ", The nurse is caring for a client with incontinence who has an order for a catheterized urine specimen to evaluate the presence of a urinary tract infection. For which of the following clients should the nurse suspect to receive a prescription for urinary catheterization? -A client who has a persistent urinary tract infection. for this client, the nurse plays a key role in prevention of which most common complication?, the nurse prepares for insertion of an indwelling catheter for a female client. You may need one for any number of reasons: After surgery, with some cancer treatments, or if The indwelling catheter consists of a soft balloon that is inflated inside the bladder to keep the catheter from slipping out and a length of tubing, which connects the catheter with a drainage bag for collecting urine. The nurse notes that the catheter is not draining. "Limit fluids to no more than 1 L (34 oz) during waking hours. The nurse notes that the client's indwelling urinary catheter has not drained in the past hour. Remove the syringe from the port and A nurse is caring for a group of newly admitted clients. Ensure there are no kinks in the drainage tubing. You have pain near the catheter. ", The nurse is caring for a client with an indwelling urinary catheter secondary to neurogenic bladder. A client who reports painful urination of a b. How could the nurse describe the Study with Quizlet and memorize flashcards containing terms like Care for an indwelling urinary catheter should include which intervention?, A client who has an indwelling catheter reports a need to urinate. The nurse recognizes this finding can be a manifestation of which of the following urinary alterations? A. The nurse is caring for a 1-day A nurse is caring for a client diagnosed with acute renal failure. Begin by assessing the appropriateness of inserting an indwelling catheter according to CDC criteria as discussed in the “Preventing CAUTI” section of this chapter. Which of the following areas should the nurse cleanse last? The nurse is inserting an indwelling (Foley) urinary catheter into a male client. The nurse inserts a 20 Fr double lumen indwelling catheter with a 30 mL balloon using sterile technique. Cleaning in a circular motion from the meatus down the catheter d. Peri-care and Urinary Catheter care is provided in tandem. The procedure is performed for patients who cannot urinate independently due to surgery, illness, or injury, and it assists Study with Quizlet and memorize flashcards containing terms like Prior to indwelling urinary catheter insertion for a female client, how should the nurse cleanse the perineal area?, The nurse is caring for a client with an indwelling urinary catheter. Prostate enlargement d. The catheter has been in for 2 days. C) Empty the drainage bag at least every 8 hours. How should the student nurse proceed? (Select all that apply) A. The AP uses soap and water to clean the perineal area. Emptying the urinary collection bag every 24 hours c. What will the nurse do with the collected The nurse has an order to obtain a urine specimen from a client with an indwelling Foley catheter. conservative treatment. Which of the following instructions should the nurse include in 6. Using sterile gloves 2. Identify the correct Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client who has been experiencing nausea, vomiting, and diarrhea for 3 days. Withdraw several milliliters of urine from the port on When preparing to insert an indwelling urinary catheter, it is important to use the nursing process to plan and provide care to the patient. , indwelling, intermittent) or suprapubic. b. Which finding reflects the nurse's understanding of urine output?, On the basis of the nurse's assessment of kidney function for an adult patient, which finding is normal?, Which activities related to urinary elimination may be Study with Quizlet and memorize flashcards containing terms like the nurse is caring for a client with an indwelling urinary catheter. Pernicious anemia B. When preparing to insert the catheter, the nurse should first open the sterile package in which of the following directions? The nurse has a prescription to obtain a urinalysis specimen from a client with an indwelling urinary catheter. Push the catheter upward toward the bladder. Which of the following information should the nurse include in the teaching?, A nurse is giving a change-of-shift report about a client he admitted earlier that day who has A sterile urine specimen for culture and sensitivity has been prescribed for a client who has an indwelling urinary catheter. Change your drainage bags. The client's nurse has amended the client's plan of care to reflect the use of the device. After preparing the equipment and solution, the nurse should assist the client into which position? The nurse is inserting an indwelling urinary catheter. Stress incontinence D. , Mrs. supine Study with Quizlet and memorize flashcards containing terms like A client reports to the nurse that after delivering an infant, she loses small amounts of urine each time she sneezes or laughs hard. Klein uses the toilet to void. ) Urine with a strong odor D. E) Limit the client's fluid intake for 2 to 4 hours prior to removal. The catheter b. ) Urostomy B. The nurse is caring for a patient who has an indwelling urinary catheter. What is the best action by the nurse? A. 3) Preoxygenate the client with 100% oxygen for up to 3 A nurse is caring for a client who has an indwelling urinary catheter and a prescription for a urine specimen for culture and sensitivity. ", Explore the adolescent's A client enters the post-anesthesia care unit with a three way indwelling urinary catheter that has a continuous irrigation of normal saline infusing. , Which actions should the nurse take when caring for a client with an indwelling urinary catheter? Select all that apply. client is orientated to person, place, and time. Your catheter seems blocked and not draining. Insert an indwelling urinary catheter. For which of the following clients should the nurse suspect to receive a prescription for urinary catheterization?, A nurse is planning to obtain a urinary specimen from a client's closed urinary system. The nurse completes a prescription to obtain a urine specimen from the catheter. Which of the following actions should the nurse take? Insert the needle into the neediess port at a 60° angle. Which of the following actions should the nurse take? Insert the needle into the needleless port at a 60° angle. When preparing to insert an indwelling urinary catheter, it is important to use the nursing process to plan and provide care to the patient. ", 3. Client drowsy but responses to verbal stimuli. prior to catheter insertion what should the Study with Quizlet and memorize flashcards containing terms like A nurse on a surgical unit is caring for a group of clients. Which rationale for indwelling urinary catheter insertion is most appropriate? 1. Which of the following findings indicates that the catheter requires irrigation? - urine has an unusual odor - urine specific gravity is 1. Which actions should the nurse include in performing this procedure? Select all that apply. Which intervention should the nurse perform?, The nurse is caring for a client with an indwelling catheter. Position patient in left-lying Study with Quizlet and memorise flashcards containing terms like The nurse is assessing a patient whose 24-hour output is 2400 mL. Measure urine output as indicated 1 – 4 hourly, assessing the colour and concentration of urine output. Apply incontinence pants. ) a) The nurse allows the urine to flow from the collection bag into the specimen container. When the nurse explains the procedure, the client refuses to allow placement of the catheter. g. The nurse asks you to obtain a urine specimen. An indwelling catheter 2. The nurse is aware that what nursing action helps prevent infection in a patient with an indwelling catheter? A) Vigorously clean the meatus area daily. There is immediate return of 120 mL of cloudy, dark yellow urine. For this client, the nurse plays a key role in prevention of which most common complication?, A nurse is caring for a client who has an indwelling urinary catheter and a prescription for a urine specimen for culture and sensitivity. Insert the needle into the needleless port at a 60° angle. Which of the following actions should the nurse C) The nurse may delegate this task to a licensed practical/vocational nurse (LPN/LVN). Here are some other things to remember when caring for someone's catheter: Make sure that urine is running out of the catheter into the urine The nurse is planning care for a client with an indwelling urinary catheter. - Switch out the bag every shift. The prescribed dosage is 5 mg every 4 hours. Which of the following actions should the nurse take?ANSWERS - Multiple Choice1) Perform suctioning for up to four passes. lgo szkpxe tiornj zgpxx fjxdjq uvxvu jenp asugj itxoz pubrbj