A nurse is caring for a client who has an indwelling urinary catheter which of the following actions
A nurse is caring for a client who has an indwelling urinary catheter which of the following actions. 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. Which of the following actions should the nurse perform first?, While performing a routine Study with Quizlet and memorize flashcards containing terms like A charge nurse is preparing to observe a newly licensed nurse perform a routine abdominal assessment. Which of the following actions should the nurse take?, A nurse is contributing to the plan of care for four patients. In which of the following positions should the client be placed for insertion of the catheter? 1. Bladder infection, A nurse is caring for a A nurse asks a newly hired assistive personnel (AP) to remove a client's indwelling urinary catheter. Set up a sterile field with catherization supplies 4. A client who reports urinary frequency c. -A client who is in the ICU for a gastrointestinal bleed. Oliguric: a reduction in urine output. which of the following action should the nurse take to prevent infection? a. Insert an indwelling urinary catheter. Clean up the length of the catheter to the perineum. The nurse notes that the client's indwelling urinary catheter has not drained in the past hour. Which of the following statements by the newly licensed nurse indicates understanding of the teaching?, A nurse on an Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a new diagnosis of urolithiasis. ) Neobladder The nurse notes that the client's dialysate output is less than the input and that his abdomen is distended. What actions by the nurse would be appropriate at this time? Select all that apply. Prostate enlargement D. Which of the following clients is the nurse's priority?, A nurse is planning care for four Care for an indwelling urinary catheter should include which of the following interventions? a) Insert the catheter using clean technique. Change the client's position D. A three-way catheter 3. Dehydration C. C) Empty the drainage bag at least every 8 hours. Which of the following actions should the nurse take to prevent infection? A. Which of the following should the nurse identify as an associated risk factor? A. 13. c) Remove obvious encrustations from the external catheter surface by washing it gently with soap and water. Which of the following actions should the nurse take? a. Which of the following pieces of 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 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 specimen for culture and Study with Quizlet and memorize flashcards containing terms like A nurse is preparing to insert an indwelling urinary catheter for a client. Study with Quizlet and memorize flashcards containing terms like When preparing to insert an indwelling urinary catheter, which steps should the nurse perform prior to insertion? Select all that apply. Wiping the labia minora in an anteroposterior direction C. N. The AP hangs the 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. Ask the AP if they know how to remove A nurse is caring for a client who has a stone in the right ureter that is obstructing the flow of urine. Urinary output D. Which of the following actions indicates the nurse is maintaining a sterile technique? A. The nurse is caring for a patient with an indwelling urinary catheter. orthopneic 3. Applying sterile gloves to open catheter package B. irrigate the catheter once each shift d. Study with Quizlet and memorize flashcards containing terms like . Determine if alternative measures Dec 13, 2022 · Proper cleaning and care of your indwelling urinary catheter helps keep it working and lowers your risk for infection. Begin by assessing the appropriateness of inserting an indwelling catheter according to CDC criteria as discussed in the “Preventing CAUTI” section of this chapter. , Label A nurse is caring for a female client who is prescribed an indwelling urinary catheter. The nurse notes no urine output in the past 2 hr. ) Urostomy B. Study with Quizlet and memorize flashcards containing terms like A charge nurse is observing a nurse insert an indwelling urinary catheter into a female client. , A nurse is caring for a client Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with an indwelling urinary catheter. 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. Which of the following actions by the AP indicates a need for further teaching? A. Click to highlight the assessment findings below that the nurse should report to the provider. Which of the following actions should the nurse take first? A. 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. Replace the catheter every 3 days. 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. 2. Check the catheter tubing for kinks or twisting. Which of the following should the nurse identify as a potential cause of the diarrhea? A. The AP tapes the catheter to the client's inner thigh. C A nurse is caring for a client who has an indwelling urinary catheter. clean the perineal area with an antiseptic solution daily A nurse is caring for a client who has an indwelling urinary catheter. The nurse should identify that an increase in which of the following parameters is an early indication of agranulocytosis?, A nurse at a family planning clinic is preparing to give a presentation to clients about how to use a diaphragm. which of the following actions should the charge nurse expect the newly licensed nurse to take?, a nurse manager needs to address an increased rate of client medication errors. Learn how to take care of your catheter and drain bags, along with Indwelling Urinary Catheter (IDC): A catheter which is inserted into the bladder, via the urethra and remains in situ to drain urine. The nurse should Study with Quizlet and memorize flashcards containing terms like A nurse is administering 1 L of 0. Arrange the sterile items on the sterile field The nurse notes that the client's dialysate output is less than the input and that his abdomen is distended. 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 urinary tract infections, The nurse prepares for 4. b) Keep the drainage bag on the bed with the client. Which intervention would be the highest priority to reduce the risk of aspiration for this patient? Omitted A. The nurse recognizes this finding can be a manifestation of which of the following urinary alterations? Study with Quizlet and memorize flashcards containing terms like A nurse is collecting data from a client who is receiving clozapine to treat schizophrenia. Place the drainage bag above the client's abdomen 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 client complains of spasm-like pain at the catheter insertion site. "I should avoid things and activities that make me sneeze or cough. 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. The nurse plays a key role in prevention of this complication from sterile catheter insertion technique to regular catheter care. Check the tubing for kinks. ", 3. Hypocalcemia B. Which of the following actions should the nurse plan to take?, A nurse is A nurse is caring for a male client who has been prescribed an indwelling urinary catheter. The nurse recognizes this finding can be a manifestation of which of the following urinary alterations? A. The client with an indwelling urinary catheter should not regularly be experiencing uncontrolled suprapubic pain or unsuppressed bladder spasms. Which of the following is an appropriate action for the nurse to take a. A nurse is caring for a client who is receiving antibiotic treatment for a urinary tract infection and is experiencing diarrhea. Notify the provider. For which of the following clients would the nurse expect to receive a prescription for urinary catherization ?, A nurse is preparing to insert an Study with Quizlet and memorize flashcards containing terms like A nurse preceptor is orienting a newly licensed nurse. A client who reports painful urination of a b. Which of the following actions should the nurse take?, A nurse is caring for a group of newly admitted clients. Which of the following statements should the nurse use to instruct the nursing assistant caring for a client with an indwelling urinary catheter? 1. A. Study with Quizlet and memorize flashcards containing terms like A home health nurse is caring for a child who has Lyme disease. Review the AP's skill competency checklist. Cut the inflation port to deflate the balloon D. Which of the following actions should the nurse take first? 1. Which intervention should the nurse perform?, The nurse is caring for a client with an indwelling catheter. Which of the following actions should the nurse take to prevent infection? A- replace the catheter every 3 days B- check the catheter tubing for kinks or twisting C- irrigate the catheter once each shift D- clean the perineal area with an antiseptic solution daily 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 inserts an indwelling urinary catheter for a client who is preoperative. check the catheter tubing for kinks or twisting c. Which of the following actions by the newly licensed nurse indicates a breach of confidentiality and requires intervention by the nurse preceptor?, While collecting data on a client who is immobile, a nurse located a reddened area of skin on the left scapula. Three days later, the client develops a urinary tract infection. Diuretic use, A nurse is caring for a client who has an indwelling urinary catheter. Reported pain lvl E. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a group of newly admitted clients. 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 pneumonia. ) The antibiotic interferes with the Pull the catheter out as quickly as possible B. ) Continent cutaneous reservoir C. Withdraw 3 to 5 mL of urine from the port. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has an indwelling urinary catheter. After removing the catheter, the nurse observes a break in skin integrity on the penis. The nurse notes there has not been any urinary output in the last hour. brings his wealth of experience from five years as a medical-surgical nurse to his role as a nursing instructor and writer for Nurseslabs, where he shares his expertise in nursing management, emergency care, critical care, infection control, and public health to help students and nurses become the best version of themselves and elevate the nursing profession. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a flaccid bladder following a spinal cord injury. Which of the following actions should the nurse perform first? The nurse is assessing a client with a urinary sheath catheter. Wiped the area of the A nurse is caring for a client who is 5 hr postoperative following a transurethral resection of the prostate (TURP). C. Do not reapply the urinary sheath b. Dehydration c. Explain to the client that she will feel temporary discomfort D. The client has developed a urinary tract Infection (UTI). The nurse recognizes this finding can be a manifestation of which of the following urinary alterations? a. 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 falling off a stepstool at home. To deselect a finding, click on the finding again. For which of the Study with Quizlet and memorize flashcards containing terms like A home health nurse is caring for a child who has lyme disease. A nurse is caring for a client who has an indwelling urinary catheter. Which of the following changes should the nurse identify as an indication that the treatment was successful?, A nurse is caring for a client who is scheduled to be transferred to a long-term care facility. 9% sodium chloride to a client who is postoperative and has fluid volume deficit. Assess for skin necrosis, A nurse is caring for a A nurse is caring for a female client who has a prescription for an indwelling urinary catheter. B. Administer pain medication to the client C. The nurse classifies this as which of the following types of infection? and more. If the client does, this should be reported. Lubricate the catheter C. 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. Neuro Assessment B. 3. Which of the following areas should the nurse cleanse last?, A nurse is preparing a male client for intermittent urethral catheterization. Empty the drainage bag at least every 8 hours. Which of the following actions should the nurse take first? 1 - Clean the perineum from front to back 2 - Lubricate the catheter. The AP uses soap and water to clean the perineal area. Ensure the state health department has been notified b. 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 2 days. -A 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 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. Perform a routine cleansing of the perineal area 2. Which of the following actions should the nurse take? 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. a. replace the catheter every 3 days b. which of the following strategies represents an Study with Quizlet and memorize flashcards containing terms like A nurse on a surgical unit is caring for a group of clients. Which of the following actions should the nurse take first? Study with Quizlet and memorize flashcards containing terms like A nurse is admitting a client who has pneumonia. dorsal recumbent 2. 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. Educate the family to avoid sharing personal belongings d. Which of the following actions should Study with Quizlet and memorize flashcards containing terms like A nurse is planning wound management for a client who has a stage 3 pressure injury. . Which of the 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. Which of the following actions should the nurse take to ensure the AP is qualified to perform this task? Show the AP how to remove an indwelling urinary catheter. The 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. side-lying 4. D. Which 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 2 days. a nurse is caring for a client who has an indwelling urinary catheter. b. For which of the following actions should the charge nurse intervene? A) The nurse separates the client's labia with her dominant hand B) The nurse coats the indwelling urinary catheter with lubricant C) The nurse provides perineal 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 illustrates the nurse's A nurse is caring for a client who has an indwelling urinary catheter and notes blood-tinged urine in the catheter bag. Clean the perineum from front to back B. Identify the correct sequence of steps that the nurse should take. Arrange the sterile items on the sterile field 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 nurse is caring for a female client who has a prescription for an indwelling urinary catheter. Which of the following actions should the nurse take?, A nurse is preparing to remove staples from a client's incision. Irrigate the catheter once each shift. Pernicious anemia b. GI Assessment F Which of the following instructions should the nurse include in the teaching?, A nurse is caring for a 58 year old client with an indwelling catheter that was placed on admission 3 days ago. Use clean technique to obtain a specimen for culture and sensitivity. Mar 24, 2022 · When preparing to insert an indwelling urinary catheter, it is important to use the nursing process to plan and provide care to the patient. Administer solifenacin (Vesicare). Sterile technique must be maintained from this step until _________. Position patient in left-lying position after feedings. Determine if the client has any Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a group of newly admitted clients. Place the client in a dorsal recumbent position 3. Administer antitoxin c. Bladder infection Study with Quizlet and memorize flashcards containing terms like A nurse is providing perineal care for a female client who has an indwelling urinary catheter. Pernicious anemia B. Family history D. 4. The nurse recognizes this finding can be a manifestation of which of the following urinary alterations? A nurse is caring for a client who postoperative and who has an indwelling urinary catheter to gravity drainage. 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. Wipe the area of needleless 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. Deflate the balloon completely before removal C. Which of the following interventions should the nurse include in the plan?, A nurse is planning care for four clients following change-of-shift report. Perform intermittent catheterization. The nurse should identify that the client has which of the following types of infections?, A nurse is preparing to administer an enema when the client states, "My doctor didn't tell me Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is postoperative following abdominal surgery. Which of the following urinary diversions should the nurse anticipate the client will need? A. 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. BMI less than 25 C. 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 department committee. Flush tubing with 20 mL water after feeding is completed. 3 - Explain to the client that she will feel temporary discomfort 4 - Arrange the sterile items on the sterile field. Insert the needle into the needless port at a 60° angle. Study with Quizlet and memorize flashcards containing terms like A nurse is applying a condom catheter for a client who is uncircumcised. Insert an indwelling urinary catheter B. Clean the perineal area with an antiseptic solution daily. 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. -A client who has urge incontinence. supine May 24, 2024 · Paul Martin R. B) Apply powder to the perineal area twice daily. 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. c. ) The antibiotic dose is not correct, and the provider should be alerted B. , When inserting an indwelling urinary catheter, ________ must be kept sterile after opening the catheterization kit. Which of the following actions should the nurse take first? Initiate a bladder training schedule. Incisional drainage C. , A 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. 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 securing the catheter in place using tape or a catheter holder after its insertion. Which of the following A nurse is caring for a client who has an indwelling urinary catheter and notes blood -tinged urine in the catheter bag. Place the drainage bag above the client's abdomen Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a patient with a jejunostomy tube receiving intermittent enteral feedings. 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. ) Ureteral stent D. Which catheter will the nurse select to obtain the specimen? 1. Which of the following actions indicated understanding of the procedure ? and more. Prostate enlargement d. Spreading the labia with A nurse is caring for a female client who has a prescription for an indwelling urinary catheter. Paraphimosis: occurs when the foreskin is left in a retracted position. Insert the needle into the needleless port at a 60° angle. An indwelling catheter 2. hlyotbmzwqtsnqzemjtalnitjrxvaeedchuaykpjjearkfbt