Clinical Nursing Skills And Techniques, 2025 All
Chapters Q&A Verified 100%
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The nurse notes that urine does not flow after a female patient is catheterized. The nurse
believes that the catheter has been placed into the vagina. Which action should the nurse take?
a. Remove the catheter and reinsert it.
b. Irrigate the catheter with saline.
c. Leave the catheter in place and insert another one
d. Insert the catheter 17 to 22.5 cm (9-10 inches) farther into the patient to verify that
it is in the vagina.
C
When the balloon on an indwelling urinary catheter is inflated and the patient expresses
discomfort, it is essential for the nurse to take which action?
a. Remove the catheter.
b. Continue to blow up the balloon because discomfort is expected.
c. Aspirate the fluid from the balloon and advance the catheter.
d. Pull back on the catheter slightly to determine tension.
C
The nurse is caring for a patient who has an indwelling urinary catheter. Which intervention is
most important to include in this patient's plan of care?
a. Maintaining tension on the tubing
b. Emptying the urinary collection bag every 24 hours
c. Cleaning in a circular motion from the meatus down the catheter
d. Keeping the drainage bag on the bed or attached to the side rails
C
The nurse has been ordered to perform closed intermittent irrigation of a patient's indwelling
urinary catheter. Which intervention is indicative of safe practice?
a. Applies sterile gloves.
b. Instills 100 mL of irrigant.
c. Leaves the drainage tubing unclamped irrigation.
d. Determines the amount of urinary drainage by subtracting the amount of irrigant from the total
output.
D
When evaluating the health care team member's ability to apply a condom catheter, it is most
important for the nurse to provide further instruction for which intervention?
a. Clipping of hair at the base of the penis
b. Applying skin preparation to the penis before catheter placement
,c. Using regular adhesive tape to hold the catheter in place
d. Leaving 2.5 to 5 cm (1-2 inches) of space between the tip of the penis and the end of the catheter
C
When providing care for a patient with a suprapubic catheter who has acquired a urinary tract
infection (UTI), which intervention is most important for the nurse to implement?
a. Using clean technique
b. Securing the tube to the inner thigh
c. Cleansing the insertion site in a direction toward the drain
d. Promoting intake of 2200 mL of fluid per day
D
Which symptom is the patient with fluid overload likely to exhibit?
a. Oliguria
b. Distended neck veins
c. Increased skin temperature
d. Increased urine specific gravity
B
When observing a patient for symptoms of dehydration, the nurse should observe which
assessment?
a. Increased salivation
b. Diuresis
c. Periorbital edema
d. Decreased capillary filling
D
When providing care for a patient in need of an indwelling catheter, the nurse understands that which
of the following is an indication for this need?
a. Presence of a bladder outlet obstruction
b. Presence of a yeast infection
c. Presence of a urinary tract infection
d. Overactive bladder (OAB)
A
The nurse receives a prescription 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
A
,The nurse is caring for a patient who has an indwelling catheter attached to a drainage bag. To
achieve the desired outcome of this procedure, which nursing action should be taken?
a. Make sure the tubing has dependent loops to gather urine.
b. Make sure the tubing is coiled and secured to the bed.
c. Make sure the tubing is kinked.
d. Make sure the collection bag is higher than the bladder.
B
The nurse is caring for a patient who is experiencing inadequate bladder emptying. To determine
postvoid residual, which technique is most important for the nurse to implement?
a. Bladder scanner
b. Indwelling catheterization
c. Straight/intermittent catheterization
d. Foley catheterization
A
The nurse is preparing the patient for a bladder scan to determine postvoid residual (PVR). Which of
the following is part of the preparation?
a. Limit food intake for 2 hours before the scan.
b. Begin scan 10 minutes after the patient has voided.
c. Limit liquid intake for 30 minutes before the scan.
d. Administer an analgesic 30 minutes before the scan.
B
Antimicrobial catheters coated with silver or antibiotics have been shown to reduce the incidence of
________?
a. bleeding
b. bladder spasm
c. infection
d. trauma
C
The risk for catheter-associated urinary tract infection can be reduced by using when inserting a
catheter in the hospital setting.
a. personal protective equipment (PPE)
b. aseptic technique
c. clean technique
d. triple-lumen catheters
B
A single-lumen catheter that is inserted into the bladder through the urethra only to empty the
bladder and then is removed is known as a(n) catheter.
a. straight
b. indwelling
, c. continuous closed irrigation
d. intermittent open irrigation
A
A _________ catheter has a separate lumen that is used to inflate a balloon so the catheter remains in
the bladder for short- or long-term use.
a. straight
b. indwelling
c. continuous closed irrigation
d. intermittent open irrigation
B
_________ is the volume of urine in the bladder after a normal voiding?
a. Suprapubic volume
b. Postvoid residual
c. Tidal volume
d. Incontinence
B
A noninvasive device that is used to provide accurate determination of a patient's bladder volume by
first creating an ultrasound image of the patient's bladder and then calculating the urine volume in
the bladder is known as a .
a. suprapubic catheter
b. bladder scanner
c. tidal volume measurement
d. condom catheter
B
A _________ is a nonivasive alternative for management of male urinary
incontinence. Because it is noninvasive, the risk for urinary tract infection (UTI) is decreased. The
device fits over the penis and connects to a small collection bag that attaches to the leg with a strap,
or to a standard urinary collection bag that hangs on the bedframe below the level of the bladder.
a. suprapubic catheter
b. bladder scanner
c. tidal volume measurement
d. condom catheter
D
involves the insertion of a urinary catheter directly into the bladder
through the lower abdominal wall. Urine drains from the catheter into a urinary drainage bag.
a. Suprapubic catheterization
b. Bladder scanning
c. Tidal volume measurement
d. Condom catheterization
Chapters Q&A Verified 100%
____________________________________________________________________________________
The nurse notes that urine does not flow after a female patient is catheterized. The nurse
believes that the catheter has been placed into the vagina. Which action should the nurse take?
a. Remove the catheter and reinsert it.
b. Irrigate the catheter with saline.
c. Leave the catheter in place and insert another one
d. Insert the catheter 17 to 22.5 cm (9-10 inches) farther into the patient to verify that
it is in the vagina.
C
When the balloon on an indwelling urinary catheter is inflated and the patient expresses
discomfort, it is essential for the nurse to take which action?
a. Remove the catheter.
b. Continue to blow up the balloon because discomfort is expected.
c. Aspirate the fluid from the balloon and advance the catheter.
d. Pull back on the catheter slightly to determine tension.
C
The nurse is caring for a patient who has an indwelling urinary catheter. Which intervention is
most important to include in this patient's plan of care?
a. Maintaining tension on the tubing
b. Emptying the urinary collection bag every 24 hours
c. Cleaning in a circular motion from the meatus down the catheter
d. Keeping the drainage bag on the bed or attached to the side rails
C
The nurse has been ordered to perform closed intermittent irrigation of a patient's indwelling
urinary catheter. Which intervention is indicative of safe practice?
a. Applies sterile gloves.
b. Instills 100 mL of irrigant.
c. Leaves the drainage tubing unclamped irrigation.
d. Determines the amount of urinary drainage by subtracting the amount of irrigant from the total
output.
D
When evaluating the health care team member's ability to apply a condom catheter, it is most
important for the nurse to provide further instruction for which intervention?
a. Clipping of hair at the base of the penis
b. Applying skin preparation to the penis before catheter placement
,c. Using regular adhesive tape to hold the catheter in place
d. Leaving 2.5 to 5 cm (1-2 inches) of space between the tip of the penis and the end of the catheter
C
When providing care for a patient with a suprapubic catheter who has acquired a urinary tract
infection (UTI), which intervention is most important for the nurse to implement?
a. Using clean technique
b. Securing the tube to the inner thigh
c. Cleansing the insertion site in a direction toward the drain
d. Promoting intake of 2200 mL of fluid per day
D
Which symptom is the patient with fluid overload likely to exhibit?
a. Oliguria
b. Distended neck veins
c. Increased skin temperature
d. Increased urine specific gravity
B
When observing a patient for symptoms of dehydration, the nurse should observe which
assessment?
a. Increased salivation
b. Diuresis
c. Periorbital edema
d. Decreased capillary filling
D
When providing care for a patient in need of an indwelling catheter, the nurse understands that which
of the following is an indication for this need?
a. Presence of a bladder outlet obstruction
b. Presence of a yeast infection
c. Presence of a urinary tract infection
d. Overactive bladder (OAB)
A
The nurse receives a prescription 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
A
,The nurse is caring for a patient who has an indwelling catheter attached to a drainage bag. To
achieve the desired outcome of this procedure, which nursing action should be taken?
a. Make sure the tubing has dependent loops to gather urine.
b. Make sure the tubing is coiled and secured to the bed.
c. Make sure the tubing is kinked.
d. Make sure the collection bag is higher than the bladder.
B
The nurse is caring for a patient who is experiencing inadequate bladder emptying. To determine
postvoid residual, which technique is most important for the nurse to implement?
a. Bladder scanner
b. Indwelling catheterization
c. Straight/intermittent catheterization
d. Foley catheterization
A
The nurse is preparing the patient for a bladder scan to determine postvoid residual (PVR). Which of
the following is part of the preparation?
a. Limit food intake for 2 hours before the scan.
b. Begin scan 10 minutes after the patient has voided.
c. Limit liquid intake for 30 minutes before the scan.
d. Administer an analgesic 30 minutes before the scan.
B
Antimicrobial catheters coated with silver or antibiotics have been shown to reduce the incidence of
________?
a. bleeding
b. bladder spasm
c. infection
d. trauma
C
The risk for catheter-associated urinary tract infection can be reduced by using when inserting a
catheter in the hospital setting.
a. personal protective equipment (PPE)
b. aseptic technique
c. clean technique
d. triple-lumen catheters
B
A single-lumen catheter that is inserted into the bladder through the urethra only to empty the
bladder and then is removed is known as a(n) catheter.
a. straight
b. indwelling
, c. continuous closed irrigation
d. intermittent open irrigation
A
A _________ catheter has a separate lumen that is used to inflate a balloon so the catheter remains in
the bladder for short- or long-term use.
a. straight
b. indwelling
c. continuous closed irrigation
d. intermittent open irrigation
B
_________ is the volume of urine in the bladder after a normal voiding?
a. Suprapubic volume
b. Postvoid residual
c. Tidal volume
d. Incontinence
B
A noninvasive device that is used to provide accurate determination of a patient's bladder volume by
first creating an ultrasound image of the patient's bladder and then calculating the urine volume in
the bladder is known as a .
a. suprapubic catheter
b. bladder scanner
c. tidal volume measurement
d. condom catheter
B
A _________ is a nonivasive alternative for management of male urinary
incontinence. Because it is noninvasive, the risk for urinary tract infection (UTI) is decreased. The
device fits over the penis and connects to a small collection bag that attaches to the leg with a strap,
or to a standard urinary collection bag that hangs on the bedframe below the level of the bladder.
a. suprapubic catheter
b. bladder scanner
c. tidal volume measurement
d. condom catheter
D
involves the insertion of a urinary catheter directly into the bladder
through the lower abdominal wall. Urine drains from the catheter into a urinary drainage bag.
a. Suprapubic catheterization
b. Bladder scanning
c. Tidal volume measurement
d. Condom catheterization
