Question 1

Mr.Hornby is a 24-year-old quadriplegic with a urinary retention catheter.He has recently experienced frequent urinary tract infections (UTIs).What information can the home care nurse provide him about foods that may decrease his risk of UTI?

Accepted Answer

The answer of Mr.Hornby is a 24-year-old quadriplegic with a...

Question 2

Mrs.Eglington,a 54-year-old woman,is to have an indwelling urinary catheter inserted.What is the correct technique for cleansing the female genitalia immediately prior to catheterization?

Accepted Answer

The correct technique for cleansing the female genitalia prior to catheterization is to separate the labia and cleanse from front to back. This helps to prevent introducing bacteria from the rectal area into the urethra, which can lead to a urinary tract infection. Therefore, option B is the best choice. Option A is incorrect because cleansing from back to front could introduce bacteria into the urethra. Option C is incorrect because cleansing in a circular motion does not provide adequate cleansing of the area. Option D is incorrect because alcohol can cause irritation or dryness of the skin.

Question 3

Mr.Wilson is 1 day post-operative from a mitral valve replacement.Which of the following would be reported to the physician as a significant finding?

Accepted Answer

A urine output of 150 mL over 8 hours is significantly low, indicating possible renal impairment or decreased perfusion, which is concerning post-operatively and should be reported to the physician.

Question 4

Mr.Wilson is having a heart valve replacement today.He is in preoperative hold being prepped for surgery.He has benign prostatic hypertrophy (BPH).Which of the following is an appropriate choice of urinary catheters for Mr.Wilson?

Accepted Answer

The indwelling coude catheter is specifically designed with a curved tip, making it an appropriate choice for patients with benign prostatic hypertrophy (BPH) to navigate the enlarged prostate during insertion.

Question 5

Mr.Singh has a three-way foley catheter in place.He has been receiving intermittent bladder irrigations.When assessing Mr.Singh,the nurse notes that he has no urine output in his catheter bag.What should her first action be?

Accepted Answer

The nurse should first check the tubing for kinks or other obstructions to ensure that the urine can flow freely. If the tubing is not obstructed, then the nurse should notify the physician. Running irrigating fluid into the bladder or removing and reinserting the catheter should not be done without orders from the physician.

Question 6

The nurse is planning to teach Mr.Ravinder about his ileal conduit.Which of the following should be incorporated into the teaching plan for him?

Accepted Answer

Increasing fluid intake is important for patients with an ileal conduit to help flush the urinary system and prevent complications such as infections or blockages.

Question 7

Mrs.Stuart is a 54-year-old client with an indwelling catheter.What instructions should the nurse give to the X-ray technician who is accompanying Mrs.Stuart to the radiology department for an X-ray?

Accepted Answer

The drainage bag should always be kept below bladder level to prevent urine from flowing back into the bladder, which can cause infection.

Question 8

Mrs.Eglington has just had her catheter removed.What teaching would the nurse provide her that may help prevent a UTI?

Accepted Answer

Frequent voiding helps flush bacteria from the urinary tract, reducing the risk of infection.

Quiz 42: Urinary Elimination

Mr.Hornby is a 24-year-old quadriplegic with a urinary retention catheter.He has recently experienced frequent urinary tract infections (UTIs) .What information can the home care nurse provide him about foods that may decrease his risk of UTI?