Nokea
You note that in the past 3 hours no urine has drained into your female patient's urinary collection bag. Which of the following is most likely responsible for this?
- A. Kinks in the tubing
- B. Acute renal failure
- C. Poor positioning of the drainage bag
- D. A kidney stone blocking the catheter
Correct Answer: A
Rationale: Kinks in the tubing are the most common cause of no urine flow, as they obstruct drainage.
You may also like to solve these questions
A condom catheter is an external catheter.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: A condom catheter is an external device placed over the penis to collect urine.
Under what circumstances is it appropriate to use an indwelling catheter in a long-term care setting?
- A. If the patient has a stage I or stage II pressure ulcer
- B. If the patient has a stage III or stage IV pressure ulcer
- C. If the patient is continuously incontinent of urine and is at risk for pressure ulcers
- D. If the patient has a terminal illness
- E. If the patient has a severe impairment such that positioning and clothing changes are painful
Correct Answer: C,D,E
Rationale: Indwelling catheters are appropriate for severe incontinence risking pressure ulcers, terminal illness, or when positioning causes significant pain.
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.
A frail elderly patient with a hip fracture has to void before surgery. Which of the following is the best way to handle this?
- A. Have the patient use a fracture pan.
- B. Have the patient use a regular bedpan.
- C. Help the patient use the bedside commode.
- D. Catheterize the patient.
Correct Answer: A
Rationale: A fracture pan is designed for patients with mobility limitations, such as a hip fracture, to facilitate voiding with minimal movement.
Circumcision is
- A. Retraction of the foreskin in males.
- B. Removal of the foreskin in males.
- C. Tightening of the foreskin in males.
- D. Narrowing of the opening of the foreskin in males.
Correct Answer: B
Rationale: Circumcision involves surgical removal of the foreskin in males.