The nurse has inserted an indwelling catheter and secured the ...

[imowrer]

The nurse has inserted an indwelling catheter and secured the catheter to the patient's thigh, making sure that there is enough slack that movement will not create tension on the catheter.
 
  The nurse understands that the chief purpose of properly securing Foley catheters is to obtain which outcome? (Select all that apply.)
  a. Minimized risk for bleeding
  b. Reduced risk for bladder spasm
  c. Reduced risk for meatal necrosis
  d. Reduced risk for trauma
  e. Increased bladder relaxation

Question 2

The nurse is visiting an elderly patient who lives with his wife and daughter. He takes several daily medications, including antihypertensives, antiarrhythmics, diuretics, and pain medication.
 
  The patient's wife states that he takes all of the pills in the morning and some at night. The nurse should examine the pills and suggest which of the following?
  a. Take the antiarrhythmics and antihypertensives together in the morning to prevent hypotension during sleep.
  b. Take the diuretics at bedtime.
  c. Increase the different types of pain medication to prevent addiction to one.
  d. Administer at bedtime medications that are likely to cause confusion.

[scrocafella]

Answer to Question 1

A, B, C, D
Securing the catheter will minimize accidental dislodgment. It also will minimize risks for bleeding, trauma, meatal necrosis, and bladder spasms from pressure and traction.

Answer to Question 2

D
Administer at bedtime medications that are likely to cause confusion to reduce the risk for confusion during waking hours, which contributes to disorientation and the risk for falling. However, do not recommend this if the patient has nocturia. Space antihypertensives and antiarrhythmics at different times to minimize side effects. Have diuretics taken early in the day and not at night, so that the diuretic effect occurs during the day, while the patient is awake. Reduce the number of pain medications used when possible. Drugs create sedative effects, increasing the risk for falls.

[imowrer]

TYSM

[chereeb]

Excellent