The nurse is caring for a client who has experienced a ...

[frankwu]

The nurse is caring for a client who has experienced a sports-related injury to the knee. During the morning assessment, which signs of inflammation does the nurse anticipate?
 
  Select all that apply.
  A) Pitting edema
  B) Pallor
  C) Swelling
  D) Warmth
  E) Pain

Question 2

The healthcare provider prescribes an indwelling urinary catheter for a client with urinary retention. Which intervention, along with strict aseptic technique, will decrease the risk of infection for this procedure?
 
  A) Irrigating the catheter with sterile saline on a daily basis
  B) Instructing the client to void around the catheter
  C) Using an anesthetic lubricating gel during insertion
  D) Inflating the balloon while the catheter is in the urethra

[Hikerman221]

Answer to Question 1

Answer: C, D, E

Swelling, warmth, and pain are signs of inflammation. Pallor is not a sign of inflammation; redness is. Pitting edema is not a sign of inflammation.

Answer to Question 2

Answer: C

Unless contraindicated, the additional step of using an anesthetic lubricating gel promotes comfort and protects fragile urethral tissues from trauma, and therefore reduces risk for a catheter-associated UTI. Irrigating the catheter should not be done because it can introduce infection by allowing bacteria to enter the closed urinary drainage system. Although voiding around the catheter will decrease bladder spasms, it will not help reduce infection. The balloon is not inflated until the catheter is in the bladder, in order to prevent trauma to the urethra and therefore decrease the risk of infection.

[frankwu]

Thank you

[Hikerman221]

No problemo