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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.
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After discontinuing an indwelling urinary catheter, what should you assess for?
- A. Swelling and discharge from the urinary meatus
- B. Whether the patient has voided within 8 hours
- C. Temporary decrease in urine output
- D. Temporary urge incontinence
Correct Answer: B,D
Rationale: Assessing for voiding within 8 hours ensures the patient can urinate naturally, and temporary urge incontinence is common after catheter removal.
Contraction of which muscle causes the bladder to empty?
- A. Internal urinary sphincter
- B. Detrusor
- C. External urinary sphincter
- D. Peristalsis
Correct Answer: B
Rationale: The detrusor muscle contracts to expel urine from the bladder during voiding.
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.
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.
The size of the balloon for an indwelling catheter is 5 mL.
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: Indwelling catheter balloons typically range from 5 to 30 mL, with 10 mL being common for adults.