Nokea
Treatment for a UTI includes rest, increased fluid intake, antibiotics, and urinary analgesics.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: This combination addresses infection, symptoms, and promotes recovery.
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You are caring for a patient who sustained a spinal cord injury 14 years ago. Two days ago, the health-care provider inserted an indwelling urinary catheter, size 18 Fr, which is to remain in place for several weeks to allow pressure ulcers to heal. The patient has had catheters off and on for many years. You note that urine is leaking around the catheter insertion site and that the patient's meatus is getting red and irritated. Which of the following actions represents the nursing interventions most likely to resolve this situation?
- A. Request medication to calm bladder spasms, which are probably the cause of the leakage.
- B. Obtain an order to remove the current catheter and replace it with a size 22 Fr catheter.
- C. Obtain an order to replace the current catheter with a size 14 Fr catheter.
- D. Obtain an order to remove the current catheter and replace it with a condom catheter.
Correct Answer: C
Rationale: A smaller catheter (14 Fr) may reduce irritation and leakage, as a larger catheter can cause pressure and inflammation at the meatus.
If a patient had an order to discontinue a catheter the day after surgery, under what circumstances might you consider delaying doing so until you talk with the physician?
- A. If the patient complained of burning or discomfort because of the catheter
- B. If the patient's output is greater than 50 mL/hr
- C. If the patient's output is less than 30 mL/hr
- D. If the patient's urine is dark amber
Correct Answer: C,D
Rationale: Low urine output (<30 mL/hr) or dark amber urine may indicate inadequate kidney function or dehydration, warranting consultation before catheter removal.
Which independent nursing measure would you implement?
- A. Encourage fluid intake
- B. Perform a bladder scan
- C. Administer a diuretic
- D. Insert a new catheter
Correct Answer: B
Rationale: Performing a bladder scan is an independent nursing action to assess for urinary retention in a patient with low voiding volumes.
Urinary tract infections are more common in males than in females.
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: UTIs are more common in females due to their shorter urethra.
A is used for urine to be eliminated by an alternate route rather than traveling through the bladder.
- A. Urostomy
- B. Foley catheter
- C. Nephrostomy tube
- D. Straight catheter
Correct Answer: C
Rationale: A nephrostomy tube diverts urine directly from the kidney to an external collection system, bypassing the bladder.