NUR105 M6.10: ATI Skills Modules: Urinary Elimination
A nurse is caring for a group of newly admitted clients. For which of the following clients should the nurse suspect to receive a prescription for urinary catheterization?
Answer: A client who is in the ICU for a GI bleed.NUR105 M6.10: ATI Skills Modules
Urinary catheterization may be required for clients in critical care settings, such as the ICU, to closely monitor and manage fluid balance and urinary output.
A nurse is planning to obtain a urinary specimen from a client’s closed urinary system. Identify the correct sequence of steps that the nurse should take.
Answer:
Wipe the port with an alcohol swab or agency-specified antiseptic.
Attach a syringe to the collection port of the indwelling catheter.
Withdraw 3 to 30 ml of urine.
Transfer the urine to a sterile specimen container.
Transport the specimen to the lab.
Obtaining a urinary specimen from a closed urinary system involves these steps to maintain sterility and ensure accurate results.NUR105 M6.10: ATI Skills Modules
A nurse is preparing a male client for intermittent urethral catheterization. Which of the following actions should the nurse take?
Answer: Lift the penis perpendicular to the body.
Lifting the penis perpendicular to the body helps to straighten the urethra for easier insertion of the catheter.
A nurse is assessing a client’s indwelling urinary catheter drainage at the end of the shift and notes the output is considerably less than the fluid intake. Which of the following actions should the nurse take first?NUR105 M6.10: ATI Skills Modules
Answer: Check the catheter for kinks.
A decrease in urinary output may be due to a kink in the catheter tubing, and checking for kinks is the first action to take to ensure proper drainage.
A nurse is providing perineal care for a female client who has an indwelling urinary catheter. Which of the following areas should the nurse cleanse last?NUR105 M6.10: ATI Skills Modules
Answer: Anus.NUR105 M6.10: ATI Skills Modules
Perineal care should be performed from front to back to prevent contamination of the urinary meatus with fecal material. Therefore, the anus should be cleansed last.
A nurse is preparing to insert an indwelling urinary catheter. Which of the following actions should the nurse instruct the client to perform during the insertion procedure?
Answer: Bear down.
In male clients, bearing down can help relax the external sphincter and make catheter insertion easier.
A nurse is preparing to remove a client’s indwelling urinary catheter. Which of the following actions should the nurse take?
Answer: Deflate the balloon completely before removal.
Deflating the balloon is essential to ensure the catheter can be safely and comfortably removed from the client’s bladder.
A nurse is applying a condom catheter for a client who is uncircumcised. Which of the following actions should the nurse take?
Answer: Leave a space between the penis and the sheath portion tip.NUR105 M6.10: ATI Skills Modules
Leaving a space between the penis and the sheath portion tip allows for some expansion and minimizes the risk of pressure or constriction.
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