Nokea
You gather the following assessment data: bladder is distended, patient is complaining of lower abdominal discomfort, urinary output has totaled 150 mL in 6 hours after the catheter was discontinued, and the patient is voiding frequently in very small amounts. You decide to notify the physician. What order will you expect to receive?
- A. Order for catheterization
- B. Order for antibiotics
- C. Order for increased IV fluids
- D. Order for a diuretic
Correct Answer: A
Rationale: The symptoms and low output suggest urinary retention, likely requiring catheterization to relieve the distended bladder.
You may also like to solve these questions
Stress incontinence
- A. Incontinence related to inability to get to the bathroom
- B. The brain does not receive a message that the bladder is full
- C. Incontinence related to bladder spasms and contractions
- D. The bladder does not empty because of an obstruction
- E. Incontinence related to weak pelvic floor muscles
- F. Loss of urine with no warning
Correct Answer: E
Rationale: Stress incontinence occurs due to weak pelvic floor muscles, causing urine leakage during activities like coughing or sneezing.
In catheters, the greater the size number, the larger the catheter.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: Catheter size is measured in French (Fr) units, where a higher number indicates a larger diameter.
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.
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.
Urge incontinence
- A. Incontinence related to inability to get to the bathroom
- B. The brain does not receive a message that the bladder is full
- C. Incontinence related to bladder spasms and contractions
- D. The bladder does not empty because of an obstruction
- E. Incontinence related to weak pelvic floor muscles
- F. Loss of urine with no warning
Correct Answer: C
Rationale: Urge incontinence is caused by bladder spasms and contractions, leading to sudden, uncontrollable urges to urinate.