Author Question: What is the primary source of data for evaluation? a. The chart b. The client c. The ... (Read 39 times)

dejastew · **on:** Jul 22, 2018

What is the primary source of data for evaluation?

a. The chart
b. The client
c. The end-of-shift report
d. Interprofessional team meetings

Question 2

A patient in the hospital has an in-dwelling urinary catheter, and the nurse is instructing the nursing student in the appropriate care to provide. Which one of the following does the nurse teach the student to do?

a. Empty the drainage bag at least every eight hours.
b. Cleanse up the length of the catheter to the perineum.
c. Use sterile technique to obtain a specimen for culture and sensitivity.
d. Place the drainage bag on the patient's lap while transporting the patient to testing.

vboyd24 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

B

Feedback
A The chart is not the primary source of data for evaluation.
B The primary source of data for evaluation purposes is the client.
C The end-of-shift report is not the primary source of data for evaluation.
D The nurse may use input from other caregivers in an interprofessional team meeting, but this is not the primary source of data for evaluation.

Answer to Question 2

A

Feedback
A The urinary drainage bag should be emptied at least every eight hours. If large outputs are noted, more frequent emptying will be required.
B The perineum should be cleansed, and then down the catheter for a length of approximately 10 cm.
C Use sterile technique only to collect specimens from a closed-drainage system.
D Avoid raising the drainage bag above the level of the bladder. If it becomes necessary to raise the bag during transfer of the patient to a bed or stretcher, clamp the tubing or empty the tubing contents to the drainage bag first. The drainage bag can be attached to the wheelchair below the level of the patient's bladder for transport. It should not be placed on the patient's lap.