SNRSG 317 EXAM IV BEST REVIEW
QUESTIONS WITH VERIFIED ANSWERS
During insertion of a catheter, it becomes contaminated. What is the best nursing action?
A. Continue Insertion, if it was only contaminated by the patient
B. Cleanse the catheter with a sterile alcohol swab
C. Obtain a new catheter and repeat catheterization
D. Notify the provider that catheterization could not be completed at this time - C
During insertion of a catheter, the sterile field becomes contaminated. What is the best nursing action?
A. Continue Insertion, if it was only contaminated by the patient
B. Use the sterile field but avoid the part which was contaminated
C. Obtain a new sterile kit and start over
D. Ask the provider for their opinion on whether a new sterile field is necessary - C
The nurse has accidentally inserted a catheter into the vagina. What is the best nursing action?
A. Remove the catheter and insert it into the urethral meatus
B. Remove the catheter and cleanse it with an alcohol pad, then insert it into the urethral meatus
C. Remove the catheter and obtain a new catheter and sterile supplies to insert into the urethral meatus
D. Leave the catheter in the vagina and obtain a new catheter and sterile supplies to insert into the
urethral meatus - D
If a catheter is proving extremely difficult to insert into a male patient, it might be acceptable to try using
a _____________ catheter
A. External (condom) catheter
B. Robinson catheter
C. Straight catheter
, D. Coude' catheter - D
*True or False:* When inserting a catheter into a male patient, the penis should be held horizontally to
the body - False
A patient has recently had an indwelling catheter placed, and urine is leaking around the catheter. An
appropriate nursing action would be to:
A. Check the balloon, it may be under inflated and fill it with 10 cc of sterile water
B. Remove the catheter because the client can void for themselves
C. Notify the provider
D. Insert the catheter further - A
*True or False:* It is normal for urine output to exceed 1000 mL when a patient has had a catheter
placed - False
A catheter has just been removed with the balloon still inflated. The nurse should *initially:*
A. Notify the provider
B. Assess for signs of urethral trauma
C. Ask the patient if they're in pain
D. Insert a new catheter with at least 10 mL of sterile water - B
Appropriate indication for an indwelling urinary catheter includes all *but:*
A. Assistance with healing open or sacral or perineal wounds or skin grafts in certain incontinent patients
B. Large, incontinent patients requiring frequent linen changes
C. Need for accurate urine output measurement in a critically ill patient
D. Acute urinary retention or bladder outlet obstruction - B
What is a critical step when inserting an indwelling catheter into a male patient?
A. Advance to the bifurcation of the drainage and balloon ports and then inflate the balloon
B. Quickly inflate the catheter balloon with sterile saline
C. Secure the catheter drainage tubing to the bed sheets when inserted
D. Advance until urine flows and then insert 1-2 inches or more; than inflate the balloon - D
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