Laura is a student nurse who is working on a rehabilitation unit ...

[crobinson2013]

Laura is a student nurse who is working on a rehabilitation unit in the hospital. She is caring for Mrs. Cruse, a 77-year-old patient who had undergone knee replacement surgery.
 
  Since Mrs. Cruse had surgery, she has had several instances of urinary incontinence. The nurse caring for Mrs. Cruse has told Laura that she will be calling the health care provider for an order to anchor a Foley catheter. What is Laura's best response to this suggestion?
  A. Would it be better to request a straight catheter instead?
  B. I think it would be better to put a disposable undergarment on her.
  C. Could we try a toileting schedule before you request the Foley?
  D. I think that is a good idea; it will prevent skin breakdown.

Question 2

A nurse is considered an expert on her unit in starting an IV. She is mentoring a new nurse who is learning to start IVs.
 
  When beginning an IV on a patient, the nurse tells the new nurse that the best place to initially start the IV, in case the patient needs subsequent venipuncture sites, is which of the following? A. Nondominant antecubital vein
  B. Most appropriate distal vein on the nondominant hand
  C. Most appropriate proximal vein available
  D. Dominant antecubital vein

[matt]

Answer to Question 1

C
You are in a key position to serve as a patient advocate by suggesting noninvasive alternatives to catheterization use. For example, you may decrease the risk for UTI by suggesting the use of a bladder scanner to evaluate bladder urine volume without invasive instrumentation or implement a toileting schedule for the incontinent patient.

Answer to Question 2

B
Initially place IV catheters at the most distal point when possible, which allows for the use of proximal sites later if the patient needs subsequent venipuncture sites.