1. What are the indications for urinary catheterization?
Answer
· An open perineal wound
· Measurement of residual after urination
· Relief of urinary retention
2. What is another word for planter flexion contractures?
Answer
· Foot drop
3. What are appropriate interventions in aiding a client with low oxygen satu- ration?
Answer
· Raising the head of the bed
· Administering oxygen
4. Which actions should the nurse take when caring for a client who has urinary incontinence?
Answer
· Apply moisture ointment
· Cleaning up client often
,· Apply a condom catheter on a male client
· Take the client to the bathroom every 2 hours
5. What are the appropriate nursing interventions for treating pressure in- juries?
Answer
· Repositioning
· Raise heels off the bed
· Keep head at or below 30 degrees
6. Which actions should the nurse take when administering a cleansing ene- ma?
Answer
· Hold the container 30-45 cm above the anus
7. Which action should a nurse take when a client is shivering during the application of cold
compress?
Answer
· Stop the treatment
8. A nurse receives an order to collect urine from a client who has an in- dwelling catheter.
How should the nurse collect the sample?
Answer
· Through the catheter port
9. How should the nurse measure for adequate oxygen perfusion?
Answer
, · Use a pulse oximeter
· Assess skin for discoloration
· Assess mucous membrane/conjunctiva
10. What should a nurse do after the removal of a urinary catheter and the client has not
voided?
Answer
· Palpate bladder for distention
· Use bladder scan
11. Describe nursing responsibilities of ostomies
Answer
· Keep patient free of odors
· Inspect patient's stoma size
· Empty bag when 2/3 full
· Keep skin around the stoma site clean
12. Describe a healthy looking stoma
Answer
· Pink, moist and shiny
13. Which device should be used when ambulating a patient?
Answer
· A gait belt
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