The nurse has inserted an indwelling catheter and secured the catheter to the patient's thigh, making sure that there is enough slack that movement will not create tension on the catheter
The nurse understands that the chief purpose of properly securing Foley catheters is to obtain which outcome? (Select all that apply.)
a. Minimized risk for bleeding
b. Reduced risk for bladder spasm
c. Reduced risk for meatal necrosis
d. Reduced risk for trauma
e. Increased bladder relaxation
A, B, C, D
Securing the catheter will minimize accidental dislodgment. It also will minimize risks for bleeding, trauma, meatal necrosis, and bladder spasms from pressure and traction.
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The nurse in the ICU is admitting a 57-year-old man with a diagnosis of possible septic shock. The nurse's assessment reveals that the patient has a normal blood pressure, increased heart rate, decreased bowel sounds, and cold, clammy skin
The nurse's analysis of these data should lead to what preliminary conclusion? A) The patient is in the compensatory stage of shock. B) The patient is in the progressive stage of shock. C) The patient will stabilize and be released by tomorrow. D) The patient is in the irreversible stage of shock.
Which change would be helpful in assisting nurses to cope with moral distress?
1. Relieving the nurses from service on ethics committees 2. Having unlicensed personnel provide all direct patient care 3. Encouraging free discussion of ethical concerns 4. Increasing compensation for overtime hours worked
Which action will the nurse plan to take for a 40-year-old patient with multiple sclerosis (MS) who has urinary retention caused by a flaccid bladder?
a. Decrease the patient's evening fluid intake. b. Teach the patient how to use the Credé method. c. Suggest the use of adult incontinence briefs for nighttime only. d. Assist the patient to the commode every 2 hours during the day.
A parent says to a nurse, "My 4-year-old has five cavities." The nurse informs the parent that early-childhood caries is related to which of the following?
1. Strong familial history of dental caries 2. Inadequate preventive care, including brushing the teeth and eating habits 3. Increased intake of iron supplements 4. Fluoride intake in water and in toothpaste