Elimination and Gastric Intubation

Question 1 of 5

After a Foley catheter has been removed the nurse should assess the patient for:

A. hemorrhage.

B. constipation.

C. urinary retention.

D. bladder spasm.

Correct Answer:

Rationale:

Question 2 of 5

What would be the correct explanation of catheter care?

A. Cleansing the first 2 in of the catheter with soap and water every shift

B. Disinfecting the entire catheter with alcohol every shift

C. Lubricating the catheter with antiseptic lotion every 24 hours

D. Cleansing the meatal-catheter junction every 24 hours

Correct Answer:

Rationale:

Question 3 of 5

During insertion of a Foley catheter the patient grimaces as the balloon is inflated. What is the immediate reaction of the nurse?

A. Withdraw the catheter.

B. Ask the patient to bear down.

C. Continue to inflate the balloon.

D. Advance the catheter into the bladder.

Correct Answer:

Rationale:

Question 4 of 5

When explaining the difference between a colostomy and an ileostomy the nurse explains which of the following about an ileostomy?

A. It is always permanent.

B. It drains semiliquid stool.

C. It has a much larger stoma.

D. It does not need a pouch.

Correct Answer:

Rationale:

Question 5 of 5

Before inserting a nasogastric tube what measurement should the nurse take?

A. Tip of the nose to the earlobe to the xiphoid process

B. Bridge of the nose to the xiphoid process

C. Nose to the top of the ear to the stomach

D. Clavicular notch to the stomach

Correct Answer:

Rationale:

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