A nurse is assessing a client who has a urinary catheter. The nurse notes the client's IV tubing is kinked and the urinary catheter bag is lying next to the client in bed. The nurse should identify that the client is at risk for which of the following conditions?

Skin breakdown

Infection

Neurogenic bladder

Phlebitis

Answer and Explanation

The Correct Answer is B

A)   Skin breakdown could occur due to the catheter bag lying in bed, but it is not the primary risk associated with the observations noted.
B)   A kinked IV tubing can lead to stasis of fluids, which increases the risk of infection. Additionally, if the urinary catheter bag is not positioned below the level of the bladder, urine can reflux back into the bladder, which also increases the risk of infection.
C)   Neurogenic bladder is a condition typically associated with nerve damage, not directly related to the position of the catheter bag or kinked tubing.
D)   Phlebitis is inflammation of a vein, which would not be directly caused by the issues noted with the urinary catheter.

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Correct Answer is A

Explanation

A) This response offers a solution by involving a social worker who can assist the client in exploring financial assistance programs or alternative medication options.
B) While contacting the pharmacy may be helpful, it does not guarantee a solution to the client's financial constraints.
C) Involving the occupational therapist for a home visit is not directly related to addressing the client's inability to afford medication.
D) Instructing the client to ask their provider to prescribe a cheaper medication puts the responsibility solely on the client and may not address the underlying issue effectively.

A. Decrease protein intake. B. Decrease carbohydrate intake. C. Increase potassium intake. D. Increase phosphorus intake.

Correct Answer is A

Explanation

A) Decreasing protein intake is often recommended for clients with nephrotic syndrome to reduce proteinuria and slow the progression of kidney damage.
B) Decreasing carbohydrate intake is not typically a focus of dietary recommendations for nephrotic syndrome.
C) Increasing potassium intake may not be appropriate, as clients with nephrotic syndrome may be at risk of hyperkalemia due to impaired kidney function.
D) Increasing phosphorus intake is not typically indicated and may exacerbate complications associated with kidney dysfunction in nephrotic syndrome.

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A nurse is assessing a client who has a urinary catheter. The nurse notes the client's IV tubing is kinked and the urinary catheter bag is lying next to the client in bed. The nurse should identify that the client is at risk for which of the following conditions?

Nursing Test Bank

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