The nurse is caring for a patient who has an indwelling catheter attached to a drainage bag; to achieve the desired outcome of this procedure, which nursing action should be taken?
a. Make sure the tubing has dependent loops to gather urine.
b. Make sure the tubing is coiled and secured to the bed.
c. Make sure the tubing is kinked.
d. Make sure the collection bag is higher than the bladder.
B
Check the drainage tubing and the bag to make sure that the tubing does not have dependent loops and the bag is not positioned above the level of the bladder. Check to make sure that the tubing is coiled and is secured to the bed linen, is free of kinks, and is not clamped, and that the patient is not lying on it.
You might also like to view...
At school, a client with type 1 diabetes mellitus sees the school nurse because of feeling sweaty and shaky. Which action should the nurse take?
a. Call the ambulance if the blood glucose is less than 200 b. Provide a large candy bar and send the client back to class c. Provide a bottle of soda for the client to drink until symptoms subside d. Provide 15 grams of glucose and recheck blood glucose in 15 minutes
In designing a new healthcare facility, it is particularly important to pay close attention to safety elements related to violence and aggression in which of the following settings? (Select all that apply.)
a. Emergency b. Psychiatry c. Gerontology d. Maternal-child
Pharmacoeconomics is:
1. The study of the part of the U.S. economy devoted to drug use 2. The study of the impact of prescription drug costs on the overall economy 3. The analysis of the costs and consequences of any health-care-related treatment or service 4. The analysis of the clinical efficacy of the drug
A client has an ACTH-secreting tumor. The nurse understands that which assessment findings would be consistent with this type of tumor?
1. Clubbing of the fingers and circumoral cyanosis 2. Extreme tachycardia and tremors 3. Weight gain and muscle atrophy 4. Exophthalmos and skin that is hot to the touch