A nurse is performing frequent catheterizations for residual urine. What causes the greatest concern for the nurse?
Introduction of pathogens into the bladder
Frequent genital exposure of the patient
Presence of the indwelling catheter
Causing urethral erosion
The Correct Answer is A
A. Introduction of pathogens into the bladder: Repeated catheterizations significantly increase the risk of introducing pathogens, leading to urinary tract infections.
B. Frequent genital exposure of the patient: While exposure may be uncomfortable for the patient, it is not the greatest concern.
C. Presence of the indwelling catheter: This question refers to frequent catheterizations, not an indwelling catheter, though both carry infection risks.
D. Causing urethral erosion: Urethral trauma can occur but is less concerning than infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Facial twitching: Facial twitching is unrelated to fluid retention and may indicate neuromuscular or electrolyte imbalances.
B. Periorbital edema: Periorbital (around the eyes) edema is a common sign of fluid retention, particularly in renal impairment.
C. Rash on cheeks and neck: A rash is not associated with fluid retention and may indicate other conditions such as allergies or lupus.
D. Broken blood vessels around the nose: This is unrelated to fluid retention and may result from trauma or alcohol use.
Correct Answer is D
Explanation
A. Childhood disease of mumps: Mumps does not typically result in glomerulonephritis.
B. Frequent cystitis: Cystitis affects the bladder and does not lead to glomerulonephritis.
C. Recent wound infection: While infections can cause systemic inflammation, glomerulonephritis is commonly linked to streptococcal infections.
D. Streptococcal infection: Acute post-streptococcal glomerulonephritis is an immune response following a group A streptococcal infection.
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