The nurse receives an order to insert a Foley catheter. In ...

[SAVANNAHHOOPER23]

The nurse receives an order to insert a Foley catheter. In obtaining a catheter of the right size, the nurse is aware that large catheters can lead to which complication?
 
  a. Urethral damage
  b. Bladder relaxation
  c. Obstruction of urinary flow
  d. Decreased risk for infection

Question 2

When evaluating a client's nutritional status, the nurse identifies a positive sign as:
 
  A. Spongy gums
  B. Decreased subcutaneous fat
  C. Dry, pale eye membranes
  D. Reddish-pink oral mucous membranes

[abro1885]

Answer to Question 1

A
Large catheters (larger than 16 Fr) can distend the urethra and permanently damage the urethra and bladder neck, as well as cause bladder spasms and leaking around the catheter. Use a catheter of the smallest size possible to minimize trauma and promote adequate drainage of the periurethral glands. This will decrease the risk for infection.

Answer to Question 2

D
D. Abnormal redness in gingival or red, raw fissured tongue are indications of inadequate vitamin C and folate, niacin, riboflavin, iron, and vitamins B6 and B12.
A. Spongy gums indicate inadequate vitamin C intake.
B. Decreased subcutaneous fat in the triceps and chest musclesa change in a client's weight over time is an inexpensive and relatively accurate method of predicting nutritional status.
C. Dry, pale, eye membranes indicate inadequate iron intake.

[SAVANNAHHOOPER23]

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[abro1885]

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