While caring for a hospitalized older-adult female post hip surgery, the nurse is faced with the task of inserting an indwelling urinary catheter, which involves rotating the hip into a contraindicated position. Which action should the nurse take?

a. Postpone catheter insertion until the next shift.
b. Adapt the positioning technique to the situation.
c. Notify the health care provider for a urologist consult.
d. Follow textbook procedure with contraindicated position.


ANS: B
The nurse must use critical thinking skills in this situation to adapt positioning technique. In practice, patient procedures are not always presented as in a textbook, but they are individualized. A urologist consult is not warranted for positioning problems. Postponing insertion of the catheter is not an appropriate action.

Nursing

You might also like to view...

The nurse has just received a report on a new client admitted for depression. The client has severe cerebral palsy, communicates only with a computer, and is quadriplegic

Which of the following statements best demonstrates that the nurse has the ability to respond to this client? 1. "I will read the record and talk with the physician to understand the client's disabilities." 2. "It is important to interview the client's family before I meet the client." 3. "This assignment may be a challenge for me and I will need to be aware of my feelings and any potential fears related to caring for this client." 4. "The first thing I will do is thoroughly assess the client's needs and abilities."

Nursing

A child is brought to the pediatric clinic, where the parent reports that the child has tea-colored urine and puffy eyes. Which diagnostic test does the nurse prepare the parent and child for based on the assessment findings?

A. BUN and creatinine B. Intravenous pyelogram C. Suprapubic aspiration D. Voiding cystourethrogram

Nursing

The nurse is discussing the various effects of calories on the body. The caloric cost of digesting, absorbing, and metabolizing food is called what?

A) The thermic effect C) The basal metabolic rate B) The metabolic effect D) The resting metabolic rate

Nursing

It is important to inform the nurse if the patient is "blue."

True False

Nursing