The nurse who is doing frequent catheterizations for residual has a concern related to the potential for:
1. the introduction of pathogens to the bladder.
2. frequent genital exposure of the patient.
3. the presence of the indwelling catheter.
4. causing urethral erosion.
1
The frequency of introducing a catheter into the bladder offers a very real risk of infection. Because there is no indwelling catheter, there is no erosion of the urethra. Excessive genital exposure of the patient is inappropriate.
PTS: 1 DIF: Cognitive Level: Application REF: 847-848
OBJ: 3 TOP: Urinary Catheterization
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
You might also like to view...
When evaluating the success of the nursing care plan, the nurse remembers that evaluation is: Standard Text: Select all that apply
1. Planned and ongoing. 2. Done collaboratively with the healthcare professional and the client. 3. Performed to determine the client's progress toward goal achievement. 4. Performed to determine the effectiveness of the nursing care plan. 5. Performed verbally.
The nurse is caring for a patient with a substance use disorder who is addicted to heroin. The nurse understands that areas of the brain and nervous system have been connected to substance abuse and addiction
What is true regarding the nervous system and substance abuse and addiction? Select all that apply. 1. Changes in neuroanatomy cause the behavior seen in addiction. 2. Addictive substances act on the mesolimbic system of the brain. 3. Addictive substances stimulate surges of dopamine. 4. Addictive substances act on the mesocerebral system of the brain. 5. Changes in neurochemistry cause behaviors seen in addiction.
The nurse assesses an atopic client who has had serious type 1 hypersensitivity reactions. The nurse recognizes that the most severe form of a type 1 hypersensitivity reaction is
a. anaphylaxis. b. bronchial asthma. c. cell-mediated sensitivity. d. dermatitis.
A nurse at the mental health clinic plans a series of psychoeducational groups for persons newly diagnosed with schizophrenia. Which two topics take priority?
a. "The importance of taking your medication correctly" b. "How to complete an application for employment" c. "How to dress when attending community events" d. "How to give and receive compliments" e. "Ways to quit smoking"