A confused patient with pneumonia is admitted with an indwelling catheter in place. During interdisciplinary rounds the following day, which question would the nurse ask the primary healthcare provider?
"Do you want daily weights on this patient?"
"Will the patient be able to return home?"
"Can we discontinue the indwelling catheter?"
"Should we get another chest x-ray today?"
The Correct Answer is C
A. “Do you want daily weights on this patient?”
Daily weights may be useful in fluid management, but they are not a priority for CAUTI prevention or catheter care.
B. “Will the patient be able to return home?”
Discharge planning is important, but this is not the most immediate or clinically relevant concern for the nurse during rounds.
C. “Can we discontinue the indwelling catheter?”
Indwelling catheters significantly increase the risk of urinary tract infections, especially in vulnerable patients like those who are confused or already battling pneumonia. Removing the catheter as soon as it's no longer medically necessary is a key step in preventing further complications.
D. “Should we get another chest x-ray today?”
A follow-up chest x-ray may be considered based on clinical need, but it is not the nurse's priority in relation to catheter care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Do not give the medication:
Nurses should never administer medications prepared by someone else, as this violates the “right medication” and “right patient” principles.
B. Administer the medication just this once:
Even a one-time exception is unacceptable and compromises patient safety and nurse accountability.
C. Give the medication for any pain score greater than 8:
This does not address the issue of medication verification and safety.
D. Avoid the issue and pretend to not hear the request:
This is unprofessional. The nurse should actively refuse and explain the rationale.
Correct Answer is A
Explanation
A. Port on catheter:
The sampling port is the sterile access point specifically designed to collect urine for laboratory analysis. This prevents contamination.
B. Drainage valve on bag:
Urine here is not sterile and may have been sitting for hours, making it unsuitable for culture and potentially contaminated.
C. Tip of catheter:
The tip should never be used to collect specimens. This breaks sterility and is inappropriate.
D. Balloon port:
This port is used to inflate/deflate the retention balloon, not for collecting urine.
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