NUR321 FINAL (UAB) QUESTIONS WITH ACCURATE
ANSWERS
1,000 mL fluid bag correct answer contains up to 100mL of air
3 way catheter irrigation correct answer -Patients who have a transurethral
catheter sometimes need continuous irrigation to prevent blood from clotting in
the urinary tract and impeding blood flow
-Has a balloon inflation port and main port with a third built in irrigation port.
-***Make sure the same amount of fluid going in is the same amount of fluid
coming out***
16 gauge IV use correct answer -large fluid volume
-rapid infusion
-trauma
-high-risk surgery
-requires a large vein
18 gauge IV use correct answer -trauma
-surgery
-viscous solutions
-blood transfusions
-requires a large vein
20 gauge IV use correct answer -routine infusions and IV access
-most commonly used
,22 gauge IV use correct answer -small fragile veins
-older adults
-slower infusions
24 gauge IV use correct answer -slow flow rates
-pediatric and elderly
500 mL fluid bag correct answer contains 60mL of air
A 20- to 24-gauge catheter is recommended for __________________ correct
answer most infusions in adult patients
A 22- to 24-gauge catheter is recommended for __________________ to
minimize insertion-related trauma correct answer neonates, pediatric patients,
and older adults
A client with urine retention related to a complete prostatic obstruction requires
a urinary catheter to drain the bladder. Which type of catheter is most
appropriate for a client that has an obstructed urethra?
a. Indwelling urethral catheter
b. intermittent urethral catheter
c. Straight Catheter
d. Suprapubic catheter correct answer -Suprapubic catheter
-A suprapubic catheter is used for long-term continuous drainage and is inserted
through a small incision above the pubic area. Suprapubic bladder drainage
,diverts urine from the urethra when injury, stricture, prostatic obstruction, or
abdominal surgery has compromised the flow of urine through the urethra.
A nurse is caring for an elderly client at his home. The client is incontinent of
bladder and uses a condom catheter drainage system. Which of the following
describes a condom catheter?
a. A bag attached by adhesive backing to the skin around the genitals
b. A urine drainage tube inserted but not left in place
c. A urine drainage tube that is left indwelling over a period of time
d. A flexible sheath that is rolled around the penis correct answer - A flexible
sheath that is rolled around the penis
A nurse is caring for both males and female clients with indwelling urinary
catheters. Which consideration is important regarding common catheter-related
health risks?
a. The use of catheters in male patients increases the risk of future prostate
cancers.
b. Different innervation of the genital area means that males will experience more
catheter related pain.
d. Female bladder tissues are more easily irritated, increasing the risk of blood in
the urine due to catheterization.
d. The female urethra's shorter length increases the risk of bacterial infection.
correct answer -The female urethra's shorter length increases the risk of bacterial
infection.
-The anatomy of the urethra differs in males and females. The male urethra is
about 5 to 6 inches (13.7 to 16.2 cm) long. The female urethra is about 1 to 2
inches (3.7 to 6.2 cm) long. This difference is important in terms of catheterization
and risk of infection. The shorter length of the female urethra increases the risk of
microbial infiltration and ultimately infection.
, A nurse is preparing an intravenous infusion to be administered by gravity. Which
part of the administration set would the nurse use to manually regulate the
infusion rate?
a. roller clamp
b. slide clamp
c. drip chamber
d. spike correct answer -roller clamp
-When regulating the flow rate manually, the nurse would use the roller clamp on
the administration set.
A nurse is preparing to administer a unit of packed red blood cells to a patient.
The nurse begins the transfusion on Tuesday at 2015. The nurse would ensure
that the infusion is completed by what time?
a. Tuesday at 2215
b. Wednesday at 0115
c. Wednesday at 0015
d. Tuesday at 2115 correct answer -Wednesday at 0015
-Once thawed, packed red blood cells expire after 4 hours, and must not be
administered to a patient after that time. The nurse should ensure that the
transfusion is complete within 4 hours, or by 00:15 (12:15 am) on Wednesday.
A nurse needs to administer medications to a client through an intravenous port.
Which of the following actions should the nurse perform to ascertain that the IV
catheter is in the vein?
a. Pinch the tubing above the access port
b. Aspirate and observe the tubing near the insertion device
ANSWERS
1,000 mL fluid bag correct answer contains up to 100mL of air
3 way catheter irrigation correct answer -Patients who have a transurethral
catheter sometimes need continuous irrigation to prevent blood from clotting in
the urinary tract and impeding blood flow
-Has a balloon inflation port and main port with a third built in irrigation port.
-***Make sure the same amount of fluid going in is the same amount of fluid
coming out***
16 gauge IV use correct answer -large fluid volume
-rapid infusion
-trauma
-high-risk surgery
-requires a large vein
18 gauge IV use correct answer -trauma
-surgery
-viscous solutions
-blood transfusions
-requires a large vein
20 gauge IV use correct answer -routine infusions and IV access
-most commonly used
,22 gauge IV use correct answer -small fragile veins
-older adults
-slower infusions
24 gauge IV use correct answer -slow flow rates
-pediatric and elderly
500 mL fluid bag correct answer contains 60mL of air
A 20- to 24-gauge catheter is recommended for __________________ correct
answer most infusions in adult patients
A 22- to 24-gauge catheter is recommended for __________________ to
minimize insertion-related trauma correct answer neonates, pediatric patients,
and older adults
A client with urine retention related to a complete prostatic obstruction requires
a urinary catheter to drain the bladder. Which type of catheter is most
appropriate for a client that has an obstructed urethra?
a. Indwelling urethral catheter
b. intermittent urethral catheter
c. Straight Catheter
d. Suprapubic catheter correct answer -Suprapubic catheter
-A suprapubic catheter is used for long-term continuous drainage and is inserted
through a small incision above the pubic area. Suprapubic bladder drainage
,diverts urine from the urethra when injury, stricture, prostatic obstruction, or
abdominal surgery has compromised the flow of urine through the urethra.
A nurse is caring for an elderly client at his home. The client is incontinent of
bladder and uses a condom catheter drainage system. Which of the following
describes a condom catheter?
a. A bag attached by adhesive backing to the skin around the genitals
b. A urine drainage tube inserted but not left in place
c. A urine drainage tube that is left indwelling over a period of time
d. A flexible sheath that is rolled around the penis correct answer - A flexible
sheath that is rolled around the penis
A nurse is caring for both males and female clients with indwelling urinary
catheters. Which consideration is important regarding common catheter-related
health risks?
a. The use of catheters in male patients increases the risk of future prostate
cancers.
b. Different innervation of the genital area means that males will experience more
catheter related pain.
d. Female bladder tissues are more easily irritated, increasing the risk of blood in
the urine due to catheterization.
d. The female urethra's shorter length increases the risk of bacterial infection.
correct answer -The female urethra's shorter length increases the risk of bacterial
infection.
-The anatomy of the urethra differs in males and females. The male urethra is
about 5 to 6 inches (13.7 to 16.2 cm) long. The female urethra is about 1 to 2
inches (3.7 to 6.2 cm) long. This difference is important in terms of catheterization
and risk of infection. The shorter length of the female urethra increases the risk of
microbial infiltration and ultimately infection.
, A nurse is preparing an intravenous infusion to be administered by gravity. Which
part of the administration set would the nurse use to manually regulate the
infusion rate?
a. roller clamp
b. slide clamp
c. drip chamber
d. spike correct answer -roller clamp
-When regulating the flow rate manually, the nurse would use the roller clamp on
the administration set.
A nurse is preparing to administer a unit of packed red blood cells to a patient.
The nurse begins the transfusion on Tuesday at 2015. The nurse would ensure
that the infusion is completed by what time?
a. Tuesday at 2215
b. Wednesday at 0115
c. Wednesday at 0015
d. Tuesday at 2115 correct answer -Wednesday at 0015
-Once thawed, packed red blood cells expire after 4 hours, and must not be
administered to a patient after that time. The nurse should ensure that the
transfusion is complete within 4 hours, or by 00:15 (12:15 am) on Wednesday.
A nurse needs to administer medications to a client through an intravenous port.
Which of the following actions should the nurse perform to ascertain that the IV
catheter is in the vein?
a. Pinch the tubing above the access port
b. Aspirate and observe the tubing near the insertion device
