A nurse is evaluating a nursing assistive personnel's (AP) care for a patient with an indwelling catheter. Which action by the AP will cause the nurse to intervene?
Emptying the drainage bag when half full
Kinking the catheter tubing to obtain a urine specimen
Placing the drainage bag on the side rail of the patient's bed
Securing the catheter tubing to the patient's thigh
The Correct Answer is C
A. Emptying the drainage bag when half full:
This helps prevent backflow and tension on the catheter. It is an appropriate action.
B. Kinking the catheter tubing to obtain a urine specimen:
While not ideal, temporary kinking (with care) may be done to collect a specimen. This is not the worst safety breach.
C. Placing the drainage bag on the side rail of the patient's bed:
The bag must be kept below bladder level to prevent reflux and infection. Side rails can move, leading to unsafe positioning.
D. Securing the catheter tubing to the patient's thigh:
Properly securing the catheter prevents traction and reduces the risk of injury or dislodgement.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Discard the first voiding:
The first urine is discarded to mark the official start time of the 24-hour period. All subsequent urine is then collected.
B. Keep the urine in a single container at room temperature:
Most 24-hour urine specimens must be refrigerated or kept on ice to prevent bacterial growth and degradation.
C. Dispose of the last voiding:
The last voiding at the end of 24 hours must be collected, or the entire test is invalid.
D. Ask the client to urinate into the toilet, stopping midstream, and finish urinating into the specimen:
This is the technique for clean-catch midstream urine, not for 24-hour collection.
Correct Answer is C
Explanation
A. Emptying the drainage bag when half full:
This helps prevent backflow and tension on the catheter. It is an appropriate action.
B. Kinking the catheter tubing to obtain a urine specimen:
While not ideal, temporary kinking (with care) may be done to collect a specimen. This is not the worst safety breach.
C. Placing the drainage bag on the side rail of the patient's bed:
The bag must be kept below bladder level to prevent reflux and infection. Side rails can move, leading to unsafe positioning.
D. Securing the catheter tubing to the patient's thigh:
Properly securing the catheter prevents traction and reduces the risk of injury or dislodgement.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.