How it Works
Try Naxlex NCLEX-RN (Free-Trial)

Which findings should the nurse follow up on after removal of a catheter from a patient? (Select all that apply)

A.

Increasing fluid intake

B.

Dribbling of urine

C.

Voiding in small amounts

D.

Voiding within 6 hours of catheter removal

E.

Burning with the first couple of times voiding

Answer and Explanation

Correct Answer : B,C

A. Increasing fluid intake:
 This is encouraged after catheter removal to flush the bladder and promote urination. No follow-up is needed unless overdone.

B. Dribbling of urine:
 This may indicate urinary incontinence or incomplete bladder control, which requires assessment.

C. Voiding in small amounts:
 Could indicate urinary retention or incomplete emptying of the bladder, requiring follow-up.

D. Voiding within 6 hours of catheter removal:
 This is expected. Patients should void within 6–8 hours post removal.

E. Burning with the first couple of times voiding:
 Mild burning may be expected due to urethral irritation and does not usually require follow-up unless it persists or worsens.


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

Naxlex Comprehensive Predictor Exams

Free Nursing Study Resources

Related Questions

Correct Answer is C

Explanation

A. 300–450 mL:
This amount is acceptable to drain at one time. It is not considered excessive or dangerous.

B. 450–600 mL:
This is within a safe limit and does not pose risk for bladder spasms or hypotension.

C. 750–1000 mL:
Draining more than 750–1000 mL at once can lead to bladder spasms, hypotension, and hematuria due to rapid decompression of a distended bladder. This is too much to drain at once.

D. 200–500 mL:
This range is considered a safe and appropriate amount to drain in one go for most patients.

Correct Answer is A

Explanation

A. Pull the auricle down and back to straighten the ear canal:
In children under 3 years old, the ear canal is straighter when the auricle is pulled down and back. This ensures proper instillation.

B. Pull the auricle upward and outward to straighten the ear canal:
This is appropriate for adults and children over 3 years old, not a 2-year-old.

C. Sit the child up for 2 to 3 minutes after instilling drops in ear canal:
The child should be kept in a side-lying position, not upright, to allow medication to remain in the ear canal.

D. Sit the child up to insert the cotton ball into the innermost ear canal:
Cotton should be placed gently at the outermost part, not deeply, and inserting it too far can damage the ear.

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

Register