While receiving a shift report on a patient, the nurse is informed that the patient has urinary incontinence. Upon assessment, which finding will the nurse expect?

a. An indwelling Foley catheter
b. Reddened irritated skin on buttocks
c. Tiny blood clots in the patient's urine
d. Foul-smelling discharge indicative of infection


ANS: B
Urinary incontinence is uncontrolled urinary elimination; if the urine has prolonged contact with the skin, skin breakdown can occur. An indwelling Foley catheter is a solution for urine retention. Blood clots and foul-smelling discharge are often signs of infection.

Nursing

You might also like to view...

Certain individuals are born with the skills for management and these skills cannot normally be learned

Indicate whether the statement is true or false

Nursing

When delegating patient care activities, the registered nurse has a responsibility to:

a. assess individual competency when assigning nursing care activities to other health care workers. b. divide the activities fairly between health care workers. c. teach subordinate health care workers proper techniques and procedures. d. observe ancillary staff as they perform delegated activities.

Nursing

The instructor is determining which type of evaluation to conduct after training on the use of the clinical information system. What should the instructor keep in mind as the end goal of the training?

A) Training should be evaluated after the fifth session. B) Training evaluation is necessary after the class. C) Training assumes proficiency will occur over time with use. D) All super users have the opportunity to evaluate the training process.

Nursing

Assessment of a child leads the nurse to suspect viral conjunctivitis based on which of the following?

A) Mild pain B) Photophobia C) Itching D) Watery discharge

Nursing