The nurse assesses a patient's suprapubic catheter. Which observation warrants further investigation by the nurse?
a. The catheter does not drain urine conti-nuously.
b. The catheter remains in the stoma at all times.
c. The patient's urine is dark yellow and without odor.
d. The patient urinates a small volume from the urethra.
A
The nurse expects the suprapubic urinary catheter to drain urine continuously; if the flow de-creases or stops, the nurse suspects an obstruction or adherence of the catheter against the blad-der wall. Regardless of the cause, the nurse investigates interrupted flow of urine to prevent in-fection, tissue trauma, and patient discomfort. The nurse expects the suprapubic catheter to stay in the stoma, the urine to be yellow and odorless, and the patient to urinate a small volume from the urethra.
You might also like to view...
The nurse is assessing the forms of support an older patient has before she is discharged. Which of these examples is an informal source of support?
a. Local senior center b. Patient's Medicare check c. Meals on Wheels meal delivery service d. Patient's neighbor, who visits with her daily
The nurse is caring for a patient who is recovering from bowel resection surgery. Which assessment findings indicate to the nurse that the patient no longer needs to remain NPO and may progress to oral intake of food and fluids? (Select all that apply.)
a. The patient passed flatus while ambulating this morning. b. The patient's abdomen is soft with active bowel sounds x 4 quadrants. c. The patient denies nausea or vomiting and states that he feels hungry. d. The patient's abdominal incision is clean, dry, and intact with staples. e. The patient ambulated in the hallway with a slow, steady gait. f. The patient's urinary catheter is patent with clear, yellow urine.
While an abused woman cannot be categorized to fit a specific profile, which of the following traits is most commonly identified?
a. Trusting nature b. Assertive personality c. Accomplished in non-traditional female career d. Suspicious nature
Which is not a known disadvantage to using an ampule?
1. A risk of minute glass shards falling into the medication after the ampule is opened 2. A risk of injury to the nurse when opening the ampule 3. A risk of contamination of medication even when opened properly 4. Medication being lost in the neck of the ampule if not properly prepared