Nokea
Which of the following best describes the importance of monitoring intake and output?
- A. It helps determine the patient's fluid replacement needs.
- B. It can be used to correlate with daily weights.
- C. It is a good way to assess overall fluid balance.
- D. It helps determine the greatest source of fluid losses (for example, through diarrhea, insensible losses, or urine output).
Correct Answer: A,B,C,D
Rationale: Monitoring intake and output assesses fluid balance, guides replacement needs, correlates with weight changes, and identifies sources of fluid loss.
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The urethra is a tube that, in males, is surrounded by prostate tissue. When the prostate enlarges, it encroaches on the urethra and narrows it. When catheterizing a male patient with an enlarged prostate, you may encounter resistance. How should you respond to this situation?
- A. Remove the catheter immediately and call the health-care provider.
- B. Continue to try to advance the catheter. If bleeding occurs, leave the catheter in place and call the health-care provider.
- C. Gently twist the catheter to try to pass the tip past the area of prostate enlargement.
- D. Remove the catheter and try a larger size.
Correct Answer: C
Rationale: Gently twisting the catheter can help navigate past the obstruction caused by an enlarged prostate.
A three-way catheter is used for continuous bladder irrigation.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: A three-way catheter has an additional lumen for irrigation fluid, used in continuous bladder irrigation.
An indwelling catheter has a balloon that keeps the catheter in place.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: An indwelling catheter, such as a Foley, has a balloon inflated with sterile water to secure it in the bladder.
What is the minimum acceptable hourly urine output?
- A. 15 mL
- B. 30 mL
- C. 60 mL
- D. 90 mL
Correct Answer: B
Rationale: The minimum acceptable hourly urine output is 30 mL to indicate adequate kidney function.
Symptoms of UTI include dysuria, urinary frequency, urgency, nocturia, low abdominal pain, and incontinence.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: These are common UTI symptoms due to bladder irritation and inflammation.