A nurse on a busy medical unit provides care for many patients who require indwelling urinary catheters at some point during their hospital care
The nurse should recognize a heightened risk of injury associated with indwelling catheter use in which patient?
A) A patient whose diagnosis of chronic kidney disease requires a fluid restriction
B) A patient who has Alzheimer's disease and who is acutely agitated
C) A patient who is on bed rest following a recent episode of venous thromboembolism
D) A patient who has decreased mobility following a transmetatarsal amputation
Ans: B
Feedback:
Patients who are confused and agitated risk trauma through the removal of an indwelling catheter which has the balloon still inflated. Recent VTE, amputation, and fluid restriction do not directly create a risk for injury or trauma associated with indwelling catheter use.
You might also like to view...
In the planning phase of the nursing process, establishing short- and long-term goals is very important. Planning should:
A. Include positive and negative outcomes. B. Be realistic and measureable. C. Be formal and informal. D. Focus on the best possible options even if unrealistic.
When the nurse assesses the patient's abdominal superficial reflexes, the umbilicus moves in the direction of the skin stimulated. How would the nurse document this observation?
1. An absence of response 2. A questionable response 3. A negative (-) response 4. A present (+) response
Which entity has developed a list of error-prone abbreviations through its Medication Errors Reporting
Program? A. TJC B. JCAHO C. ISMP D. FDA
After you complete your nutritional counseling for a pregnant woman, you ask her to repeat your instructions so you can assess her understanding of the instructions given
Which statement indicates that she understands the role of protein in her pregnancy? a. "Protein will help my baby grow." b. "Eating protein will prevent me from becoming anemic." c. "Eating protein will make my baby have strong teeth after he is born." d. "Eating protein will prevent me from being diabetic."