Nokea
You are caring for a patient with an indwelling catheter. You have an order to discontinue the catheter this morning. The patient also has had an IV infusing at 100 mL/hr through the night. The patient is taking liquids and eating ice chips. At 7:00 a.m., you notice that the output on the previous shift was 290 mL of dark amber urine and the patient's intake totaled 960 mL. Which action will you take?
- A. Get an order to irrigate the catheter prior to discontinuing it.
- B. Wait to discontinue the catheter until you can speak with the physician on morning rounds.
- C. Discontinue the catheter and discontinue the order for intake and output because the patient no longer has a tube in place.
- D. Perform a bladder scan to determine if the patient has a large amount of residual urine in the bladder.
Correct Answer: B
Rationale: Low output (290 mL) compared to high intake (960 mL) and dark amber urine suggest possible retention or dehydration, warranting physician consultation.
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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.
Which emotional response do you think most people will experience when they need to ask for assistance with urinating?
- A. Fear related to a possible 'accident'
- B. Anger related to diminished sense of self-control
- C. Shame/embarrassment related to loss of autonomy
- D. Loss of self-esteem related to inability to care for self independently
Correct Answer: C
Rationale: Needing assistance with urination often causes shame or embarrassment due to the loss of privacy and autonomy.
You are assigned to care for a patient with an indwelling catheter. A 24-hour urine collection is ordered. How will you keep the urine from deteriorating and affecting the outcome of the test?
- A. Take a labeled specimen from the drainage bag to the laboratory every 3 hours.
- B. Empty the bag every 8 hours and pour the urine into a 24-hour collection container. Keep this container refrigerated.
- C. Keep the drainage bag in a basin containing ice. Empty the drainage bag every 8 hours into the 24-hour collection container, which you are keeping in a refrigerator.
- D. Ask the patient to empty the drainage bag into an iced container whenever it contains more than 100 mL of urine.
Correct Answer: C
Rationale: Keeping the drainage bag in ice and the collection container refrigerated prevents bacterial growth and urine deterioration, ensuring accurate test results.
Spermicides can increase the risk for urinary tract infections in women.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: Spermicides can disrupt vaginal flora, increasing UTI risk.
A single tube with holes at the end that is used to empty the bladder of residual urine or to obtain a sterile urine specimen from the bladder is a
- A. Indwelling catheter
- B. Straight catheter
- C. Condom catheter
- D. Suprapubic catheter
Correct Answer: B
Rationale: A straight catheter is inserted temporarily to drain urine or obtain a sterile specimen and is removed after use.