The patient reports feeling an urge to urinate even though an indwelling urinary catheter is in place. Which is the priority action of the nurse?

Measure the patient's urinary output.

Ensure that the catheter tubing is not kinked.

Provide perineal care to the patient for comfort.

Reassure the patient that the sensation is to be expected.

Answer and Explanation

The Correct Answer is B

A. Measure the patient's urinary output:
Measuring output is important but not the priority. First, the nurse must ensure that urine can drain freely.
B. Ensure that the catheter tubing is not kinked:
This is the priority. A kinked catheter can cause bladder distention and discomfort, leading to a sensation of urgency despite the catheter being in place.
C. Provide perineal care to the patient for comfort:
Comfort is important, but it does not address the potential cause of the urinary sensation.
D. Reassure the patient that the sensation is to be expected:
Sensation may be expected in some patients, but it’s essential to rule out mechanical obstruction first.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A. Side-to-side:
This technique allows for comparison of corresponding areas on both lungs to detect asymmetry in breath sounds.

B. Top-to-bottom:
While commonly used during general assessments, this method alone does not allow for comparison between the lungs.

C. Posterior-to-anterior:
This is not a method for auscultation comparison. Lungs are assessed posteriorly and anteriorly, but not as a comparison method.

D. Interspace-by-interspace:
This refers to location, not comparison technique. Side-to-side ensures symmetry is assessed properly.

A. Flexion and extension B. Supination and pronation C. Circumduction D. Inversion and eversion

Correct Answer is A

Explanation

A. Flexion and extension:
The knee is a hinge joint, allowing only flexion (bending) and extension (straightening).

B. Supination and pronation:
These movements occur in the forearm and ankle, not the knee.

C. Circumduction:
Circumduction occurs at ball-and-socket joints like the hip or shoulder, not the knee.

D. Inversion and eversion:
These are foot and ankle movements, not knee joint movements.

View Question and Answer

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

The patient reports feeling an urge to urinate even though an indwelling urinary catheter is in place. Which is the priority action of the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is observing the auscultation technique of another nurse. The correct method to use when progressing from one auscultatory site on the thorax to another is _______ comparison.

Correct Answer is A

Explanation

The nurse is checking the range of motion in a patient's knee and knows that the knee is capable of which movement(s)?

Correct Answer is A

Explanation

How much urine is too much to drain at one time when a new insertion of a foley catheter is done?

The nurse is caring for two patients with the same last name. In this situation which right of medica administration is the priority to reduce the chance of an error?

A nurse is caring for a patient who has a prescription for a 24-hour urine collection. Which of the following actions should the nurse take?

The nurse is planning to administer a tuberculin test with a 27-gauge, %-inch needle. At which angle will the nurse insert the needle?

The adult patient is found to be unresponsive and not breathing. Which pulse site will the nurse use?

The nurse is caring for a patient who has a bloodborne pathogen. The nurse splashes blood above the glove to intact skin while discontinuing an intravenous (IV) infusion. Which step(s) will the nurse take next?

No urine in the urethra. What should the nurse do?

A 2-year-old child is ordered to have eardrops daily. Which action will the nurse take?