NURS 242 FINAL EXAM NEWEST ACTUAL EXAM COMPLETE 75 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+

1 | P a g e NURS 242 FINAL EXAM NEWEST 2024-2025 ACTUAL EXAM COMPLETE 75 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+ Four nurses are inserting catheters on their clients. Which nurse's statement related to this intervention is incorrect? I am inserting this catheter to - a. Empty your bladder prior to your procedure b. Treat your problem of leaking urine c. Obtain a sterile specimen d. Measure the amount of urine left after your emptied your bladder ANS: B Why does the nurse cleanse a female patient's perineum before inserting an intermittent urinary catheter? - a. To encourage the bladder to drain fully b. To encourage spontaneous voiding c. To prevent bowel elimination during the procedure d. To reduce the patient's risk of urinary tract infection While setting up the sterile field in preparation for inserting an indwelling urinary catheter, a male patient is incontinent of urine over most of the supplies. What action would the nurse take to 2 | P a g e reduce the patient's risk for infection? - a. Rinse off the supplies that were contaminated with urine b. Cleanse the patient's urinary meatus c. Replace all contaminated supplies, and begin the process again d. Change the patient's bed linens ANS:C Which action(s) would minimize the patient's risk for injury during insertion of an indwelling urinary catheter? - a. Assessing the patient for allergies related to latex, antiseptic, tape, and/or iodine b. Thoroughly cleansing the patient's perineal area with povidone-iodine solution before inserting the catheter c. Performing proper hand hygiene and applying gloves before inserting the catheter d. Terminating the insertion if the patient reports pain at any time during the procedure. ANS:A How does the nurse properly measure intake and output? - a. Recording 50% of ice chip consumption b. Checking urinary output once every 24 hours c. Do not count chest tube drainage 3 | P a g e d. Subtracting liquid medications from the total intake At approximately what rate do kidneys produce urine? - a. 10-15 mL/hr b. 25-30 mL/hr c. 50-60 mL/hr d. 90-100 mL/hr ANS:B Your patient is incontinent of urine and also has an order for strict I&O to be recorded. She is in stable condition, on a general hospital unit. How should you proceed? - a. Tell the physician it is not possible to record accurate urine output on this patient b. Weigh your patient's brief and bed pad after each episode of incontinence, since 1g = 1mL of urine c. Use intermittent straight catheterization Q4 hours to empty patient's bladder d. Insert an indwelling catheter (Foley) When inserting a urinary catheter into a female patient, how far should the nurse initially insert the catheter? - a. 1 to 2 inches b. 2 to 3 inches c. 4 to 6 inches 4 | P a g e d. 7 to 9 inches Resistance is encountered during urinary catheterization of a male patient. What should the nurse do? (Select all that apply) - a. Force the catheter through b. Do NOT force the catheter through c. Try twisting the catheter slightly d. Apply gentle pressure Which of the following actions indicates that the nurse has performed the insertion of an indwelling urinary catheter on a female patient appropriately? (select all that apply) - a. Applied the waterproof sterile drape before donning sterile gloves b. Tested the balloon with fluid from the prefilled sterile water syringe c. Opened the labia with the nondominant hand and expose the urethral meatus D. kept labial folds open after cleansing the urethral meatus When the balloon on an indwelling urinary catheter is blown up, the patient expresses discomfort. What should the nurse do? - a. Remove the catheter b. Continue to blow up the balloon because discomfort is expected