Showing posts with label Basics of Nursing. Show all posts
Showing posts with label Basics of Nursing. Show all posts

The first nursing intervention should be done in the recovery room is.. do suction to the airway

The first nursing intervention should be done in the recovery room is:

  • A. give the patient analgesics.
  • B. put the patient in recovery position.
  • C. take vital signs and record.
  • D. do suction to the airway.

The most appropriate first nursing intervention in the recovery room after surgery depends on the patient's individual condition and the type of surgery they underwent. However, in most cases, the priority will be ensuring immediate stabilization and monitoring.

Therefore, the best answer is: C. Take vital signs and record.

Here's why the other options might not be the first priority:

A. Give the patient analgesics:

While pain management is crucial, assessing the patient's overall state and vital signs comes first to inform medication decisions.

B. Put the patient in recovery position:

This position is typically used for unconscious patients, which may not be the case in all recovery room situations.

D. Do suction to the airway:

Suctioning might be necessary based on individual needs, but vital signs provide a baseline assessment first.

Taking and recording vital signs like temperature, pulse, blood pressure, respiratory rate, and oxygen saturation provides the initial clinical picture of the patient's recovery progress. This information helps the nurse identify any immediate complications or potential concerns that need further intervention. Based on these vital signs, other interventions like pain management, airway management, or positioning can be prioritized and tailored to the specific patient's needs.

Remember, this is a general guideline and actual priority actions may vary depending on individual patient factors and specific protocols followed by the medical facility.

The most important preparation for a patient for a total laryngectomy includes which of the following.. aspirate secretions since cough mechanism is not as effective

The most important preparation for a patient for a total laryngectomy includes which of the following?

  • A. provide adequate humidity
  • B. aspirate secretions since cough mechanism is not as effective
  • C. elevate him to semi-Fowler's or sitting position
  • D. arrange for him to be visited by a laryngectomee.

While all the listed options are important aspects of preparation for a total laryngectomy, the most critical one is: D. Arrange for him to be visited by a laryngectomee.


Here's why:

A. Provide adequate humidity:

This is important for comfort and preventing airway dryness, but it's not the most crucial aspect of pre-operative preparation.

B. Aspirate secretions since cough mechanism is not as effective:

While post-operative management includes suctioning, it's not the main focus of pre-operative preparation.

C. Elevate him to semi-Fowler's or sitting position:

This helps with breathing and comfort, but it's less important than psychological and emotional preparation.

D. Arrange for him to be visited by a laryngectomee:

This is the most critical element because it allows the patient to connect with someone who has undergone the same procedure and learn firsthand about the physical and emotional adjustments involved. A laryngectomee can provide valuable insights and support, reducing anxiety and promoting a more positive outlook for the patient.

Laryngectomee:

Meeting a laryngectomee allows the patient to:

- Ask questions and address concerns:

Having open and honest discussions with someone who understands the experience can alleviate fears and provide realistic expectations.

- Learn about communication options:

Laryngectomees can demonstrate various communication methods like esophageal speech, electrolarynx, or even alternative and augmentative communication (AAC) tools, empowering the patient to choose the best option for them.

- Gain emotional support:

Understanding the challenges and triumphs of another laryngectomee can provide invaluable emotional support and encourage the patient to face the upcoming surgery with confidence.

Therefore, while all the listed options have their role in preparing for a total laryngectomy, arranging for the patient to connect with a laryngectomee is the most critical step in ensuring a smooth transition both physically and emotionally.

For breast self examinations, female patient should be instructed to use the techniques of.. Inspection & palpation

For breast self examinations, female patient should be instructed to use the techniques of:

  • A- Auscultation & percussion.
  • B- Inspection & palpation.
  • C- Palpation & percussion.
  • D- Palpation & auscultation.

For breast self-examinations, the correct technique involves two of the options you listed: B. Inspection & palpation.

Here's why:

- Auscultation:

This involves listening to sounds with a stethoscope and is not relevant for breast self-examinations.

- Percussion:

This involves tapping the body to listen for internal sounds or assess density. It is also not a typical technique for breast self-examination.

- Inspection:

This involves visually examining the breasts for any changes in shape, size, dimpling, or nipple discharge.

- Palpation:

This involves feeling the breasts for lumps, bumps, or thickened areas.

Therefore, both inspection and palpation are crucial aspects of a proper breast self-examination. While auscultation and percussion might be used in medical examinations by professionals, they are not recommended for home self-checks.

Remember, it's important for women to perform regular breast self-examinations as part of their self-care routine and consult a healthcare professional if they notice any changes.

Clinical manifesations associated with smal bowl obstruction include all of the following except.. passage of flatuse @stool

Clinical manifesations associated with smal bowl obstruction include all of the following except:

  • A- persistent vomiting @ metabolic disturbance.
  • B- passage of flatuse @stool.
  • C- abd distribution @ paralyatic ileus.
  • D- Dehydration @ electrolytes imbalance.

The answer is C. Abdominal distention and paralytic ileus.

While abdominal distention is a common symptom of small bowel obstruction, paralytic ileus is the absence of bowel sounds due to a functional problem, not a mechanical blockage like small bowel obstruction.
Here's a breakdown of all the options:

A. Persistent vomiting and metabolic disturbance:

Both are common symptoms of small bowel obstruction as the blockage prevents food and fluids from passing through the digestive system, leading to dehydration and electrolyte imbalances.

B. Passage of flatus and stool:

While it's less common, passing small amounts of gas and stool can occur in the early stages of small bowel obstruction, especially if the blockage is partial.

C. Abdominal distention and paralytic ileus:

As mentioned earlier, paralytic ileus is not a symptom of small bowel obstruction, which is a mechanical blockage. Abdominal distention, however, is a common symptom as the blocked bowel becomes distended with gas and fluids.

D. Dehydration and electrolyte imbalance:

These are common complications of small bowel obstruction due to vomiting, diarrhea, and inability to absorb fluids and nutrients.

Therefore, while both abdominal distention and paralytic ileus can cause abdominal bloating, only abdominal distention is associated with small bowel obstruction due to the mechanical blockage.

Deficiency of which of the following vitamin during pregnance may cause neural tube defects.. Folic acid

Deficiency of which of the following vitamin during pregnance may cause neural tube defects?

  • A- Folic acid
  • B- Riboflavin
  • C- Niacin
  • D- Thiamine.

The answer is: A. Folic acid

Deficiency in folic acid during pregnancy is the major contributing factor to neural tube defects (NTDs) in newborns. NTDs are serious birth defects that affect the spinal cord and brain development.
Here's why the other options are incorrect:

B. Riboflavin:

While riboflavin is important for overall health, it is not specifically linked to NTDs.

C. Niacin:

Niacin deficiency can cause other health problems like pellagra, but it is not associated with NTDs.

D. Thiamine:

Thiamine deficiency can lead to beriberi, but it does not contribute to NTDs.
Folic acid is crucial for healthy cell division and growth, especially during the early stages of pregnancy when the neural tube is forming. A deficiency during this critical period can increase the risk of NTDs, such as spina bifida and anencephaly.

Therefore, it is highly recommended for women who are pregnant or planning to become pregnant to consume sufficient folic acid through prenatal vitamins and a diet rich in folic acid-containing foods like leafy greens, legumes, and fortified grains.

Deferoxamine is administered in overdose of.. Iron

Deferoxamine is administered in overdose of:

  • A- Iron.
  • B- Calcium gluconate.
  • C- Digoxin.
  • D- Beta blockers.

The correct answer is A. Iron.

Deferoxamine is a chelating agent that binds to iron in the bloodstream, preventing it from causing damage. It is primarily used to treat acute iron overdose, which can lead to serious complications like organ failure and death.
Here's why the other options are incorrect:

- Calcium gluconate:

This medication is used to treat hypocalcemia (low calcium levels) and is not effective in treating iron overdose.

- Digoxin:

This medication is used to treat heart failure and is not effective in treating iron overdose.

- Beta blockers:

These medications are used to treat high blood pressure and other cardiovascular conditions and are not effective in treating iron overdose.

Therefore, if you suspect someone has overdosed on iron, it is crucial to seek immediate medical attention and inform the healthcare professionals that deferoxamine may be necessary.

The priority of nursing carr after a hemorrhoidectomy is.. control pain

The priority of nursing carr after a hemorrhoidectomy is:

  • A- prevent infection.
  • B- control pain.

While both preventing infection and controlling pain are important priorities after a hemorrhoidectomy, the most immediate and crucial priority for nursing care is:

C. Maintain adequate fluid intake and prevent dehydration.

Here's why:

- Dehydration:

Hemorrhoidectomy can cause pain and discomfort, which can lead to decreased fluid intake. Dehydration can worsen constipation, making it difficult to pass stool and increasing pressure on the surgical site, potentially hindering healing and causing further pain.

- Infection:

While infection is a concern after any surgery, it's not the most immediate priority in this case. Proper wound care, good hygiene practices, and monitoring for signs of infection are crucial, but maintaining adequate hydration takes precedence to prevent complications and promote healing.

- Pain control:

Pain management is important for patient comfort and well-being, but it's secondary to preventing dehydration and the potential complications it can cause. Effective pain management strategies can be implemented once adequate hydration is ensured.

Therefore, ensuring adequate fluid intake and preventing dehydration is the most critical priority for nursing care after a hemorrhoidectomy. This helps prevent constipation, promotes healing, and minimizes the risk of complications. Other priorities like pain control and infection prevention can then be addressed effectively once hydration is established.

Remember, each patient's needs and recovery process are unique. While preventing dehydration is generally the top priority, a thorough assessment and individualization of care are essential for optimal outcomes.

When shaving a male patient's face, you should.. apply shaving cream sparingly

When shaving a male patient's face, you should:

  • A- apply shaving cream sparingly
  • B- use upward strokes when shaving the cheeks
  • C- apply Betadine to any nicks
  • D- none of the above

The correct answer is (D. none of the above). Shaving a male patient's face requires a combination of several different techniques, not just one or the other.

Here's a breakdown of the incorrect options and what you should actually do:

A. Apply shaving cream sparingly:

While applying too much cream can be wasteful, skimping on it can lead to a less comfortable shave and increase the risk of irritation. Use enough cream to create a smooth layer between the razor and skin.

B. Use upward strokes when shaving the cheeks:

This is generally not recommended, as shaving against the grain (downward) provides a closer shave but requires more care and technique to avoid razor burn. Shaving with the grain (downward) is a safer option for most people.

C. Apply Betadine to any nicks:

While Betadine can be an effective antiseptic, it's not ideal for minor nicks from shaving. It can be harsh on the skin and potentially cause further irritation. Use a milder antiseptic like alcohol or hydrogen peroxide on small nicks, followed by a soothing moisturizer.

General Tips:

Here are some general tips for shaving a male patient's face:
  • Wash the patient's face with warm water and a mild cleanser to soften the hair and remove dirt and oil.
  • Apply a good quality shaving cream or gel to create a smooth layer between the razor and skin.
  • Use a sharp razor with multiple blades for a closer shave.
  • Shave in the direction of hair growth, using short, gentle strokes.
  • Apply gentle pressure while shaving and avoid pressing too hard.
  • Rinse the razor frequently with hot water to remove hair and cream buildup.
  • Rinse the patient's face with cool water after shaving and apply a soothing moisturizer.
  • If any nicks occur, use a mild antiseptic like alcohol or hydrogen peroxide followed by a moisturizer.

It's important to remember that every patient is different and may have specific preferences or needs regarding shaving. Be sure to communicate with the patient and adapt your technique accordingly.

Your assignment sheet has the following notation: S & A, AC, tid for Mr. Able.. do a routine sugar and acetone urine test before meals three times a day

Your assignment sheet has the following notation: S & A, AC, tid for Mr. Able. This means that you should:

  • a. take axillary temperature and systolic blood pressure after care is given two times a day
  • b. do a routine sugar and acetone urine test before meals three times a day.
  • c. do a routine sugar and acid stool test after Mr. Able's next three stools
  • d. offer snacks and ginger ale three times a day.

The most likely interpretation of the notation on Mr. Able's assignment sheet is b. do a routine sugar and acetone urine test before meals three times a day.

Here's why:

- S & A:

This typically stands for "Sugar and Acetone" in medical notation.

- AC:

This commonly refers to "Before meals" in medication or treatment instructions.

- Tid:

This stands for "three times a day" in medical terminology.

Therefore, the notation translates to "Perform a routine sugar and acetone urine test before each meal, three times a day."

Other Options:

The other options are less likely for the following reasons:

a. Axillary temperature and systolic blood pressure:

While these are common vital signs, the notation doesn't specify taking them after care or twice a day.

c. Sugar and acid stool test:

This is not a typical test, and the notation doesn't mention stool frequency or timing.

d. Snacks and ginger ale:

This doesn't align with the medical terminology used in the notation.

However, it's crucial to confirm the interpretation with the healthcare professional responsible for Mr. Able's care. They can provide specific instructions and clarify any ambiguities in the notation.

Remember, accurate communication and clear instructions are vital in healthcare settings to ensure proper patient care.

You are assigned to assist Mrs. Kelley with her lunch. She is on bed rest. The best position for her, if permitted, would be.. semi-Fowler's

You are assigned to assist Mrs. Kelley with her lunch. She is on bed rest.

The best position for her, if permitted, would be:
  • a. Tredelenberg
  • b. hyperextension
  • c. dangling at the side of the bed
  • d. semi-Fowler's

The best position for Mrs. Kelley to eat her lunch while on bed rest would be: (d. semi-Fowler's).

Here's why:

- Tredelenberg:

This position has the head of the bed elevated at 45 degrees, which is too high for eating comfortably and could increase the risk of aspiration.

- Hyperextension:

This position involves bending the head back beyond a neutral position, which is not comfortable and can strain the neck muscles.

- Dangling at the side of the bed:

This is not a safe or comfortable position for anyone, let alone someone on bed rest.

- Semi-Fowler's:

This position elevates the head and torso to a 30-45 degree angle, providing optimal support for the upper body and reducing the risk of aspiration while eating. It allows gravity to help keep food and liquids moving in the right direction, minimizing the risk of choking.

Therefore, while other positions might be acceptable for other activities during bed rest, semi-Fowler's is the best choice for Mrs. Kelley to eat her lunch comfortably and safely.

Additional factors to consider:

- Mrs. Kelley's specific medical condition and limitations:

If she has any specific restrictions or needs related to her bed rest, those should be taken into account when choosing the most appropriate position.

- Availability of pillows and support:

Ensure she has enough pillows to comfortably support her head, neck, and back in the semi-Fowler's position.

- Assistance with eating:

If needed, offer assistance with bringing the food and drink closer to her and providing support while she eats.

Remember, the goal is to ensure Mrs. Kelley can enjoy her lunch safely and comfortably while on bed rest.

When assessing the unconscious adult victim for pulselessness, which of the following is the best artery to check.. Carotid

When assessing the unconscious adult victim for pulselessness, which of the following is the best artery to check:

  • a. Radial
  • b. Femoral
  • c. Brachial
  • d. Carotid***

The best artery to check for pulselessness in an unconscious adult victim is d. Carotid. Here's why:


- Accessibility:

The carotid artery is located in the neck, easily accessible without needing to move the victim significantly.

- Palpability:

The carotid artery has a strong pulse readily felt with fingertips even in individuals with low blood pressure.

- Accuracy:

Checking the carotid pulse provides a more reliable indication of central circulation compared to peripheral arteries like the radial or femoral.

- Clinical guidelines:

Both the American Heart Association (AHA) and the European Resuscitation Council (ERC) recommend the carotid artery as the preferred site for pulse checks in unconscious adults during emergency situations.

Other Options:

While the other options have some merit, they are not as ideal for checking pulselessness in an unconscious adult:

a. Radial:

The radial pulse can be weak or absent in shock or hypovolemia, potentially leading to missed pulselessness.

b. Femoral:

While accessible, checking the femoral pulse requires moving the victim's leg, which might be impractical in certain situations.

c. Brachial:

Similar to the radial, the brachial pulse can be difficult to feel reliably in shock or low blood pressure conditions.

Therefore, based on accessibility, palpability, accuracy, and clinical guidelines, the carotid artery remains the best choice for checking pulselessness in an unconscious adult victim.

Remember:

swift and accurate assessment of vital signs is crucial in emergency situations. Knowing the optimal pulse check location can lead to timely interventions and potentially save lives.

Before irrigating a client’s NGT the nurse must first.. check the tube for placement

Before irrigating a client’s NGT the nurse must first:

  • a- assess breath sounds.
  • b- instill 15 ml. Of normal saline.
  • c- auscultate for bowel sounds.
  • d- check the tube for placement***

The correct answer is: D. check the tube for placement.

Before irrigating a client's NGT, the nurse must first check the tube for placement. This is done by auscultating for air bubbles over the stomach after instilling a small amount of air into the tube. If air bubbles are heard, the tube is correctly placed. If no air bubbles are heard, the tube is not correctly placed and should be removed and replaced.

The other options are incorrect:

  • A. Assessing breath sounds is not necessary before irrigating an NGT.
  • B. Instilling 15 ml of normal saline is not necessary before irrigating an NGT.
  • C. Auscultating for bowel sounds is not necessary before irrigating an NGT.
Once the nurse has checked the tube for placement, they can proceed with irrigation. This is done by instilling a small amount of normal saline into the tube and then flushing it out with a larger amount of normal saline. Irrigation should be done gently to avoid damaging the stomach lining.

Mr. Kaplan's orders include the notation, strain all urine. This means that you should report.. any particles in the strainer

Mr. Kaplan's orders include the notation, strain all urine. This means that you should report:

  • a. the output in millimeters.
  • b. the color of the urine.
  • c. any complaints the patient makes.
  • d. any particles in the strainer.

Answer d.
The purpose of the order to strain urine is to detect particles.
The correct answer is d. any particles in the strainer. When a patient's orders include the notation "strain all urine," it means that the nurse should strain the patient's urine through a filter and report any particles that are found in the filter. This is because particles in the urine can be a sign of a medical problem, such as a kidney stone or a urinary tract infection.

The other options are incorrect:

a. the output in millimeters:

This is not typically reported when a patient's orders include the notation "strain all urine."

b. the color of the urine:

The color of the urine can be helpful in diagnosing some medical conditions, but it is not typically reported when a patient's orders include the notation "strain all urine."

c. any complaints the patient makes:

Any complaints that the patient makes should be reported to the doctor, but they are not typically reported as part of the "strain all urine" order.
Therefore, the correct answer is d. any particles in the strainer.

How often should you total a patient's intake and output records.. once each shift

How often should you total a patient's intake and output records?

  • a. once each shift
  • b. twice a day
  • c. every 4 hours
  • d. every 12 hours

Answer a.

 Input and output are totaled once per shift as well as every 24 hours.
You should total a patient's intake and output records at least every 8 hours. This will help you to identify any changes in the patient's fluid balance and to intervene early if necessary.

total the patient's intake and output records more frequently:

  • In some cases, you may need to total the patient's intake and output records more frequently, such as:
  • If the patient is at risk for fluid overload, such as a patient with heart failure or renal failure.
  • If the patient is receiving intravenous fluids or other fluids that bypass the gastrointestinal tract.
  • If the patient has a high fever or diarrhea.
  • If the patient is undergoing surgery or other medical procedures that can lead to fluid loss.
If you are unsure how often to total a patient's intake and output records, consult with the patient's healthcare provider.

tips for totaling a patient's intake and output records:

Here are some tips for totaling a patient's intake and output records:
  • Record all intake and output accurately and completely.
  • Include all sources of intake, such as oral fluids, intravenous fluids, and enteral nutrition.
  • Include all sources of output, such as urine, stool, and emesis.
  • Total the intake and output at least every 8 hours.
  • Compare the intake and output to the patient's baseline fluid balance.
  • Report any significant changes in the patient's fluid balance to the healthcare provider.

When moving a wheelchair on or off an elevator, you should stay.. behind the chair, pulling it toward you

When moving a wheelchair on or off an elevator, you should stay:


  • a- behind the chair, pulling it toward you.
  • b- behind the chair, pushing it away from you.
  • c- in front of patient to observe his or her condition.
  • d- to the side and hold the door open.

Answer a.

 You must stay behind the chair to control it, but it should go on and come off an elevator backwards to prevent the wheels from falling into the door opening.
Yes, when moving a wheelchair on or off an elevator, you should stay behind the chair, pulling it toward you. This is the safest way to move a wheelchair, as it prevents you from tripping and falling and prevents the wheelchair from rolling away.

To move a wheelchair on or off an elevator safely, follow these steps:

  • Position the wheelchair so that the back of the chair is facing the elevator doors.
  • Grasp the wheelchair frame behind the seat, with your hands shoulder-width apart.
  • Keep your back straight and bend your knees slightly.
  • Pull the wheelchair towards you slowly and carefully.
  • Once the wheelchair is inside the elevator, release your grip on the wheelchair frame.
  • Position the wheelchair so that the brakes are engaged and the back of the chair is facing the elevator wall.
  • To move a wheelchair off an elevator, follow the same steps in reverse.
It is important to note that you should never push a wheelchair in front of you. This can cause you to trip and fall, and it can also cause the wheelchair to roll away.

Here are some additional tips for moving a wheelchair safely:

Be aware of your surroundings and watch out for obstacles.
  • Use your body weight to help you move the wheelchair, rather than using your arms.
  • If you are moving a wheelchair uphill, use your legs to push the wheelchair up.
  • If you are moving a wheelchair downhill, use your legs to control the speed of the wheelchair.
  • If you need help moving a wheelchair, ask someone for assistance.
By following these tips, you can help to ensure the safety of both yourself and the person in the wheelchair.

A patient has a new cast on his right arm. While caring for him, you should observe for.. warmth and color of fingers

A patient has a new cast on his right arm. While caring for him, you should observe for:

  • a. pulse above the cast
  • b. color and hardness of the cast
  • c. warmth and color of fingers
  • d. signs of crumbling at the cast end

Answer c.

A new cast may cut off circulation. Choice c reminds you to check for circulatory impairment.

While giving an unconscious patient a bath, it is important to.. give passive range of motion to all joints

While giving an unconscious patient a bath, it is important to:


  • a- give passive range of motion to all joints.
  • b- let the team leader exercise the patient's joints.
  • c- call the physical therapist to exercise the patient afterwards.
  • d- exercise the patient only if the doctor has ordered it.

Answer a.

Passive ROM should always be given with the bath on an unconsious patient.

decubitus ulcers.. The most serious problem that wrinkles in the bedclothes can cause

The most serious problem that wrinkles in the bedclothes can cause is:


  • a- restlessness.
  • b- sleeplessness.
  • c- decubitus ulcers.
  • d- bleeding and shock.

Answer c.

The most serious problem that wrinkles in the bedclothes can cause patients are decubitus ulcers, or decubiti.

Patients and families are aware that decubitus ulcers are painful, heal slowly and are often considered as an indication of poor quality of care. When caregivers provide the best care each time, patients can avoid suffering.

Richard had developed a preventable decubitus ulcer during respite care in a nursing home. The experience had inspired him and his helping wife Doreen to help inform and educate - in the hope that by working together, we can eliminate preventable bed sores.

Before you ambulate a patient who has a Foley catheter.. carry the bag below the level of the bladder

Before you ambulate a patient who has a Foley catheter, you should:


a- clamp off the catheter and disconnect it, since the bag would be in the way

b- leave the catheter dangling between the patient's legs

c- carry the bag below the level of the bladder

d- hide the bag in a pillowcase so the patient will not be embarrassed

Answer c.

 You cannot disconnect the bag without an order, but you still must ensure that the bag remains below the bladder level.

What is a Foley bag used for?

Urine drainage bags collect urine. Your bag will attach to a catheter (tube) that is inside your bladder. You may have a catheter and urine drainage bag because you have urinary incontinence (leakage), urinary retention (not being able to urinate), surgery that made a catheter necessary, or another health problem.

Can you use a Foley catheter without a bag?

People can choose to use a catheter valve without a urinary drainage bag by regularly opening the valve over a toilet/jug or similar receptacle to drain the bladder. A leg strap can be used to support the catheter tubing and catheter valve.

Where do you put a catheter bag on a bed?

This bag should be used during the night. Be sure to hang the bag over the side of the bed below the level of your bladder so that urine will flow easily. Leg bag: smaller collection bag with short tubing.

When a patient has a urinary drainage bag it is most important that?

It is very important to keep your urinary drainage bag below the level of your bladder or waist. This will prevent the urine flow from leaving the bag and flowing back into the catheter and into the bladder.

What happens if a catheter bag gets too full?

If it gets too full, it will not drain the bladder well and urine will back up into the bladder delaying the return of normal bladder function. Poor bladder drainage also increases your risk of bladder infection. Collection bags should be washed with soap and water when they are exchanged.

When emptying a urine drainage bag which step do you do first?

Step 1. Drain the bag. Wash your hands well with soap and water to prevent infecting the urinary catheter and bag. If the short drainage tube is inserted into a pocket on the bag, take the drainage tube out of the pocket.

Where should the nurse hold the catheter?

When placing an indwelling urinary catheter, where should the nurse hold the catheter? By holding the catheter 2 to 3 in (5 to 7.5 cm) from the tip, it allows for adequate control while decreasing risk of contamination. The catheter should not be held directly at the tip or at 1 in (2.5 cm) to facilitate insertion.

Should you walk around with a catheter?

Your regular activities. Having a urinary catheter should not stop you from doing most of your usual activities. You'll be advised about when it's safe for you to go to work, exercise, go swimming, go on holidays, and have sex.

How do you walk around with a catheter?

I recommend tying the catheter down to your thigh as securely as possible. Empty the day bag as often as possible so it doesn't pull. Wear loose clothing. Walk slowly and not too far.

What is the best position to empty bladder?

Leaning forward (and rocking) may promote urination. After you have finished passing urine, squeeze the pelvic floor to try to completely empty. not to promote bladder muscle instability with overuse of this technique. Tapping over the bladder may assist in triggering a contraction in some people.

Where should the tubing from a Foley catheter be placed to prevent pressure sores?

Urinary catheter tubing should be positioned under the leg. 58. Pressure injury/ulcers may be avoided in patients who are obese with use of properly sized equipment.

Why should a catheter drainage bag be kept below the level of the bladder quizlet?

The urinary drainage bag should be kept below the level of the bladder to prevent reflux of urine into the bladder. Patients should be instructed to carry the drainage bag below the level of the bladder, and to secure the drainage bag to the side of the wheelchair below the level of the bladder during transfer.

When should a catheter drainage bag be emptied and measured?

However, you must empty the leg bag every 3 to 4 hours. First, wash your hands. If someone is helping you drain your bag, make sure he or she washes also. Then release the clamp to drain all the urine.

What considerations need to be made when placing a Foley catheter?

Check the tape or strap used to secure the catheter tube to your skin. Make sure it is not blocking the tube. Make sure you are not sitting or lying on the tubing. Make sure the urine bag is hanging below the level of your waist.

What is your patient at highest risk for when they have a Foley catheter placed and indwelling?

Urinary tract infections (UTIs)


This risk is particularly high if your catheter is left in place continuously (an indwelling catheter).

Why should a drainage bag for a catheter always hang lower than the level of the hips or bladder?

Why should a drainage bag for a catheter always hang lower than the level of the hips or bladder? If a drainage bag is higher than the hips or bladder, the urine will flow back into the bladder causing an infection.

How do you wear a foley bag?

We recommend trying jeans or pants that are one size up from your normal size to ensure that the pants don't pull on your catheter tubing. Skirts, dresses, leggings, slacks, and tights are also great options for concealing drainage bags whether on the leg or the belly.

What is the preferred position for Foley catheter insertion in a female patient?

supine position

Place the patient in the supine position with the knees flexed and separated and feet flat on the bed, about 60 cm apart. If this position is uncomfortable, instruct the patient either to flex only one knee and keep the other leg flat on the bed, or to spread her legs as far apart as possible.

When .the drainage bag is usually is attached to the lower portion of the hospital bed near the floor this position allows gravity to help the urine drain?

bedridden

If the patient is not bedridden, this drainage bag can be worn on the leg, where it can be hidden under a skirt or slacks. If the patient is bedridden, the drainage bag usually is attached to the lower portion of the hospital bed (near the floor). This position allows gravity to help the urine drain.

Which of the following is the appropriate placement for catheter and drainage bag tubing?

Keep the drainage bag below the level of your bladder. Keep your drainage bag off the floor at all times. Keep the catheter secured to your thigh to keep it from moving. Don't lie on your catheter or block the flow of urine in the tubing.

What is the best position for a catheter?

Ensure patient privacy and have patient in supine position. Place waterproof sheet and/or kidney dish between patient legs. Perform hand hygiene & don gloves. Gently withdraw catheter on exhale if possible, with rotation movements if necessary.

Where should urinary drainage bags be positioned and why?

Always keep your urine bag below your bladder, which is at the level of your waist. This will prevent urine from flowing back into your bladder from the tubing and urine bag, which could cause an infection.

Where should the urinary drainage bag Foley bag be kept at shoulder level below the level of the patient's bladder on the floor out of sight at all times?

Make sure the bag is always lower than your bladder. This keeps urine from flowing back into your bladder.

Where should a Foley catheter bag be placed?

Be sure to hang the bag over the side of the bed below the level of your bladder so that urine will flow easily.

Why is Foley bag placed at a level lower to the patients bladder?

A catheter is most often attached to a drainage bag. Keep the drainage bag lower than your bladder so that urine does not flow back up into your bladder.