Nokea
A straight-tipped catheter is best when catheterizing a patient with an enlarged prostate.
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: A coude-tipped catheter is preferred for patients with an enlarged prostate to navigate the urethral curve.
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In addition to collecting all urine passed in a 24-hour period, one of the most important steps in obtaining a 24-hour urine sample is to
- A. Have the patient void, discard this urine, note the time, and then begin collecting.
- B. Begin the collection at 8:00 a.m.
- C. Make sure there is a preservative in the collection bottle.
- D. Keep the sample at room temperature.
Correct Answer: A
Rationale: Discarding the first void and noting the time ensures the 24-hour collection period is accurately timed.
You are teaching an aide to perform catheter care. Which of the following represents an accurate statement?
- A. Clean the perineum and a few inches of tubing using a perineal wash and a washcloth or gauze in downward strokes away from the body.
- B. Wash the perineum with a soapy washcloth using circular motions.
- C. Wash from the tubing 3 to 4 inches from the insertion site up toward the meatus.
- D. Separate the labia if the patient is female and wash first on one side, then the other, and then down the middle.
Correct Answer: A,D
Rationale: Cleaning downward from the meatus and separating the labia to clean thoroughly prevents infection by moving away from the insertion site.
Your patient returned from surgery (laparoscopy) 4 hours ago and complains of being unable to empty her bladder. What step should you take next?
- A. Palpate her bladder and, if distended, perform a bladder scan.
- B. Catheterize her.
- C. Have her drink a full glass of water and then have her try to void again.
- D. Check her vital signs.
Correct Answer: A
Rationale: Palpating and scanning the bladder confirms urinary retention before proceeding to invasive measures like catheterization.
Which of the following represents an appropriate way to maintain a urinary drainage bag?
- A. Keep the drainage bag above the level of the bladder.
- B. Tape the bag to the patient's leg.
- C. Empty the bag when it is full.
- D. Keep tubing free of kinks and coils.
Correct Answer: D
Rationale: Keeping tubing free of kinks ensures proper urine flow and prevents obstruction or infection.
The nursing assistant tells you that Mrs. White gained 3 pounds since her daily weigh the previous morning. You are most concerned that Mrs. White
- A. Has been eating too many calories in the past 24 hours.
- B. Is retaining approximately 1.5 liters of fluid since yesterday.
- C. Is not getting enough movement and exercise while in the hospital.
- D. Was dehydrated yesterday and has replaced needed fluids.
Correct Answer: B
Rationale: A 3-pound weight gain in 24 hours likely indicates fluid retention (1 kg ? 1 liter), equivalent to about 1.5 liters, which requires further assessment.