Foley Catheters, IV
drips, PVAD/CVAD
dressings Review Exam
Q&A
2024
, 1. A nurse is preparing to insert a Foley catheter for a male patient who
has urinary retention. Which of the following actions should the nurse take
first?
a) Lubricate the catheter tip with water-soluble gel.
b) Cleanse the patient's urethral meatus with antiseptic solution.
c) Inflate the balloon of the catheter with sterile water.
d) Advance the catheter until urine flows out and then insert 2.5 cm more.
*
Rationale: The nurse should advance the catheter until urine flows out and
then insert 2.5 cm more to ensure that the balloon is in the bladder and not
in the urethra, which could cause trauma and pain. The other actions are
also important, but they are not the first step.
2. A nurse is caring for a patient who is receiving an IV infusion of normal
saline at 125 mL/hr. The nurse notices that the IV site is swollen, red, and
painful. Which of the following actions should the nurse take?
a) Apply a warm compress to the IV site.
b) Slow down the infusion rate and monitor the site closely.
c) Stop the infusion and remove the IV catheter. *
d) Elevate the affected arm above the level of the heart.
Rationale: The nurse should stop the infusion and remove the IV catheter
because these are signs of phlebitis, which is inflammation of the vein.
The nurse should also apply a cold compress to reduce swelling and pain,
and document the occurrence and interventions. The other actions are not
appropriate for this situation.
3. A nurse is administering a blood transfusion to a patient who has severe
anemia. Which of the following assessments should the nurse perform
before starting the transfusion?
a) Check the patient's vital signs and compare them with baseline values. *
b) Verify the patient's blood type and crossmatch with the donor unit.
c) Obtain informed consent from the patient or a legal representative.
d) All of the above.
Rationale: The nurse should check the patient's vital signs and compare
them with baseline values before starting a blood transfusion to detect any
signs of adverse reactions during or after the transfusion. The other
assessments are also important, but they should be done before obtaining
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller MedGrad. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.49. You're not tied to anything after your purchase.
