Question 1

The nurse delegates the application of an external urinary catheter to nursing assistive personnel (NAP),including application of an external urinary catheter.Which aspect of applying the external catheter must the nurse perform?

Accepted Answer

A)  Placing the adhesive from the kit to hold the catheter in place 
B)  Checking the condition of the penis and scrotum before the procedure 
C)  Providing perineal care before catheter placement 
D)  Allowing a space between the tip of the penis and the catheter

Question 2

The nurse determines that the patient's urinary output from the suprapubic catheter is 150 mL for 8 hours.What does the nurse implement as a follow-up nursing intervention?

Accepted Answer

A)  Encourage coughing and deep breathing. 
B)  Clamp the urinary catheter for 30 minutes. 
C)  Contact the healthcare provider for a diuretic. 
D)  Assess the patient's intake and catheter patency.

Question 3

Four hours after applying an external urinary catheter,the nurse observes no urine output in the drainage bag.Which intervention should the nurse implement first?

Accepted Answer

A)  Check the catheter tubing for an obstruction. 
B)  Ask the patient if he or she feels the urge to void. 
C)  Notify the provider of inadequate urine output. 
D)  Increase the patient's fluid intake over the next hour.

Question 4

The nurse is changing an external urinary catheter on a male patient.Which observation by the nurse requires additional attention?

Accepted Answer

A)  The patient urinates at least every 4 hours. 
B)  The patient's urine is dark yellow and clear. 
C)  The skin of the penis under the catheter is dusky. 
D)  The patient applies the catheter independently.

Question 5

A female patient with a hysterectomy now needs to have her bladder scanned because of difficulty voiding after back surgery.What action should the nurse take to obtain the most accurate scan?

Accepted Answer

A)  Place the scanner head on the symphysis pubis using ultrasound gel. 
B)  Set the gender designation on the scanner as "male." 
C)  Place the scanner head above the symphysis pubis without ultrasound gel. 
D)  Set the gender designation on the scanner as "female."

Question 6

In which position would the nurse place a female patient when preparing to insert a urinary catheter?

Accepted Answer

A)  Prone 
B)  Supine 
C)  High-Fowler's 
D)  Dorsal recumbent

Question 7

The nurse is reviewing the instructions for applying a condom catheter with the NAP.Which of the following statements indicates an understanding of the procedure? (Select all that apply.)

Accepted Answer

A)  "I should shave the pubic hair first." 
B)  "With my dominant hand, I hold the rolled condom sheath." 
C)  "I allow 1 to 2 inches of space between the tip of the penis and the end of the condom." 
D)  "I should not use any additional adhesive tape around the penis." 
E)  "I should first provide perineal care."

Exam 18: Urinary Elimination

The nurse delegates the application of an external urinary catheter to nursing assistive personnel (NAP) ,including application of an external urinary catheter.Which aspect of applying the external catheter must the nurse perform?