Author Question: A nurse notifies the provider immediately if a patient with an indwelling catheter a. Complains ... (Read 130 times)

haleyc112 · **on:** Jul 23, 2018

A nurse notifies the provider immediately if a patient with an indwelling catheter

a. Complains of discomfort upon insertion of the catheter.
b. Places the drainage bag higher than the waist while ambulating.
c. Has not collected any urine in the drainage bag for 2 hours.
d. Is incontinent of stool and contaminates the external portion of the catheter.

Question 2

Many individuals have difficulty voiding in a bedpan or urinal while lying in bed because they

a. Are embarrassed that they will urinate on the bedding.
b. Would feel more comfortable assuming a normal voiding position.
c. Feel they are losing their independence by asking the nursing staff to help.
d. Are worried about acquiring a urinary tract infection.

pangili4 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: C
If the patient has not produced urine in 2 hours, the physician needs to be notified immediately because this could indicate renal failure. Discomfort upon catheter insertion is unpleasant but unavoidable. The nurse is responsible for maintaining the integrity of the catheter by ensuring that the drainage bag is below the patient's bladder. Stool left on the catheter can cause infection and should be removed as soon as it is noticed. The nurse should ensure that frequent perineal care is being provided.

Answer to Question 2

ANS: B
Assuming a normal voiding position helps patients relax and be able to void; lying in bed is not the typical position in which people void. Men usually are most comfortable when standing; women are more comfortable when sitting and squatting. Embarrassment at using the bedpan and worrying about a urinary tract infection are not related to the lying-in-bed position. Fear of loss of independence is not related to use of the bedpan or urinal.