NURS1871 exam 2 | Nurs 1871 CSCC Exam 2 (answered) 2024-When assessing a patient's first voided urine of the day, which finding should be reported to the health care provider?
1. Pale yellow urine
2. Slightly cloudy urine
3. Light pink urine
4. Dark amber urine - 3. Light pink urine
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when assessing a patients first voided urine of the day
which finding should be reported to the health care provider 1 pale yellow urine
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NURS 1871 Fundamentals of Nursing
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Nurs 1871 CSCC Exam 2, 2022
When assessing a patient's first voided urine of the day, which finding should be
reported to the health care provider?
1. Pale yellow urine
2. Slightly cloudy urine
3. Light pink urine
4. Dark amber urine - 3. Light pink urine
What is a critical step when inserting an indwelling catheter into a male patient?
1. Slowly inflate the catheter balloon with sterile saline.
2. Secure the catheter drainage tubing to the bed sheets.
3. Advance the catheter to the bifurcation of the drainage and balloon ports.
4. Advance the catheter until urine flows, then insert 1/4 inch more. - 3. Advance the
catheter to the bifurcation of the drainage and balloon ports.
Which nursing intervention minimizes the risk for trauma and infection when
applying an external/condom catheter?
1. Leaving a gap of 3 to 5 inches between the tip of the penis and drainage tube
2. Shaving the pubic area so hair does not adhere
3. Washing with soap and water before applying the condom-type catheter
4. Applying tape to the condom sheath to keep it securely in place - 3. Washing with
soap and water before applying the condom-type catheter
Which instructions should the nurse give the nursing assistive personnel (NAP)
concerning a patient who has had an indwelling urinary catheter removed that day?
1. Limit oral fluid intake to avoid possible urinary incontinence.
2. Expect patient complaints of suprapubic fullness and discomfort.
3. Report the time and amount of first voiding.
4. Instruct patient to stay in bed and use a urinal or bedpan. - 3. Report the time and
amount of first voiding.
An ambulatory elderly woman with dementia is incontinent of urine. She has poor
short-term memory and has not been seen toileting independently. What is the best
nursing intervention for this patient?
1. Recommend that she be evaluated for an overactive bladder (OAB) medication
,2. Start a scheduled toileting program
3. Recommend that she be evaluated for an indwelling catheter
4. Start a bladder-retraining program - . Start a scheduled toileting program
What should the nurse teach a young woman with a history of urinary tract
infections (UTIs) about UTI prevention? (Select all that apply.)
1. Keep the bowels regular.
2. Limit water intake to 1 to 2 glasses a day.
3. Wear cotton underwear.
4. Cleanse the perineum from front to back.
5. Practice pelvic muscle exercise (Kegel) daily - 4. Cleanse the perineum from front
to back.
Which nursing assessment question would best indicate that an incontinent man with
a history of prostate enlargement might not be emptying his bladder adequately?
1. Do you leak urine when you cough or sneeze?
2. Do you need help getting to the toilet?
3. Do you dribble urine constantly?
4. Does it burn when you pass your urine? - 3. Do you dribble urine constantly?
Place the following steps for insertion of an indwelling catheter in a female patient
in appropriate order.
1. Insert and advance catheter.
2. Lubricate catheter.
3. Inflate catheter balloon.
4. Cleanse urethral meatus with antiseptic solution.
5. Drape patient with the sterile square and fenestrated drapes.
6. When urine appears, advance another 2.5 to 5 cm.
7. Prepare sterile field and supplies.
8. Gently pull catheter until resistance is felt.
9. Attach drainage tubing. - 7, 2, 5, 4, 1, 6, 3, 8, 9
The nursing assistive personnel (NAP) reports to the nurse that a patient's catheter
drainage bag has been empty for 4 hours. What is a priority nursing intervention?
1. Implement the "as-needed" order to irrigate the catheter
2. Assess the catheter and drainage tubing for obvious occlusion
, 3. Notify the health care provider immediately
4. Assess the vital signs and intake and output record - 2. Assess the catheter and
drainage tubing for obvious occlusion
12. Which nursing interventions should a nurse implement when removing an
indwelling urinary catheter in an adult patient? (Select all that apply.)
1. Attach a 3-mL syringe to the inflation port
2. Allow the balloon to drain into the syringe by gravity
3. Initiate a voiding record/bladder diary
4. Pull the catheter quickly
5. Clamp the catheter before removal - 2. Allow the balloon to drain into the syringe
by gravity
3. Initiate a voiding record/bladder diary
What best describes measurement of postvoid residual (PVR)?
1. Bladder scan the patient immediately after voiding.
2. Catheterize the patient 30 minutes after voiding.
3. Bladder scan the patient when he or she reports a strong urge to void.
4. Catheterize the patient with a 16 Fr/10 mL catheter. - 1. Bladder scan the patient
immediately after voiding.
Which nursing intervention decreases the risk for catheter-associated urinary tract
infection (CAUTI)?
1. Cleansing the urinary meatus 3 to 4 times daily with antiseptic solution
2. Hanging the urinary drainage bag below the level of the bladder
3. Emptying the urinary drainage bag daily
4. Irrigating the urinary catheter with sterile water - 2. Hanging the urinary drainage
bag below the level of the bladder
There is no urine when a catheter is inserted 3 inches into a female's urethra. What
should the nurse do next?
1. Remove the catheter and start all over with a new kit and catheter
2. Leave the catheter there and start over with a new catheter
3. Pull the catheter back and reinsert at a different angle
4. Ask the patient to bear down and insert the catheter further - 2. Leave the catheter
there and start over with a new catheter
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