The nurse would question an order to insert a urinary catheter on which patient?
a. A 26-year-old patient with a recent spinal cord injury at T2
b. A 30-year-old patient requiring drug screening for employment
c. A 40-year-old patient undergoing bladder repair surgery
d. An 86-year-old patient requiring monitoring of urinary output for renal failure
ANS: B
Urinary catheterization places the patient at increased risk for infection and should be performed only when necessary. Urine can be obtained via clean-catch technique for a drug screening or urinalysis. Spinal cord injury, surgery, and renal failure with critical intake and output monitoring are all appropriate reasons for catheterization.
You might also like to view...
A patient is scheduled for radical prostatectomy. During the preoperative preparation, the nurse applies elastic compression stockings. The surgical position which places the patient at risk for the development of deep vein thrombosis is the:
A) Fowler's position B) Prone position C) Supine position D) Lithotomy position
A client recovering from a kidney transplant is not on a protein-restricted diet. What should the nurse consider as the reason for this dietary change?
a. A regular diet should be followed b. A change in diet may discourage eating c. Restriction can result in protein catabolism d. A high-protein, low-carbohydrate diet is recommended
The basic principles of first aid developed for emergency medicine are part of the triage and include which of the following? (Select all that apply.)
a. Assess physical environment for self-protections. b. Notify family for treatment consent. c. Remove the client from danger. d. Obtain and maintain an open airway. e. Assess breathing. f. Use Glasgow Coma Scale. g. Obtain arterial blood gases.
Monitoring and evaluation of nursing goals and outcomes are integral parts of the nursing process
A nurse working on a very busy unit feels she does not have adequate time to monitor clients' nutritional intakes or to ensure they are meeting their established outcomes. What is a simple nursing intervention that can assist the nurse in evaluating clients' intended outcomes? A) Have the client weighted daily and record the weight. B) Make sure the unit aides record how much food is on each tray. C) Have the client's family record the amount of food served at each meal. D) Encourage the client to document what is ordered at each meal.