Kim Johnson vSim Questions and
Answers Graded A
the nurse has an order to check the post void residual urine. how would the nurse carry out this
order? ✔✔measure the amount of urine using a bladder scanner
the nurse
...
Kim Johnson vSim Questions and
Answers Graded A
the nurse has an order to check the post void residual urine. how would the nurse carry out this
order? ✔✔measure the amount of urine using a bladder scanner
the nurse is caring for a pt who is unable to urinate voluntarily since a gunshot injury. pt data
associated with which intervention will provide info regarding the pt's kidney function? ✔✔daily
serum creatinine levels
what info presented to a pt concerning a bladder scan will assist in addressing anxieties about the
procedure? ✔✔the scan typically does not cause the pt any pain, the scanner is moved over the
skin of the pt lower abdomen, the pt body is draped to promote modesty
the nurse is completing a focused assessment on a female pt admitted for altered urinary
elimination. What questions would the nurse include when assessing the pt? ✔✔how often do
you urinate?, have you noticed any change in. your usual voiding pattern?, is there anything that
you do that helps you urinate?, do you ever leak urine?
the nurse is caring for a pt experiencing the effects of paraplegia . what urinary condition is
associated with this diagnosis> ✔✔neurogenic bladder
While inserting an intermittent urinary catheter in a female patient, the nurse accidentally inserts
the catheter into the vagina. What is the appropriate action by the nurse?
1.Leave the catheter in the vagina as a landmark and begin the procedure again with new
supplies
2.Remove the catheter and re-start the procedure using a new sterile kit
3.Allow the patient a period of rest and attempt the procedure at a later time
4.Carefully remove the catheter and reinsert it into the urethra ✔✔leave the catheter in the
vagina as a landmark and begin the procedure again with new supplies
the nurse is preparing to catheterize a female pt and is positioning the pt. which positions would
be appropriate for this procedure? ✔✔dorsal recumbent, side lying
The nurse is providing discharge education on complications associated with intermittent self
cath. Which possible complications should the nurse include in the teaching session? ✔✔UTI,
urethral strictures, bladder spasms,bladder perforations.
The nurse is recording fluid intake for Ms. Johnson. Which items on the dinner tray should the
nurse include when completing this documentation? ✔✔tomato soup, ice cream, iced tea (foods
that are liquid at room temp)
The nurse is preparing to insert an intermittent urinary catheter in a paralyzed female pt. What
would be the appropriate action by the nurse? ✔✔call for a co-worker to help hold the pt legs in
position
The nurse has created a sterile field and is preparing to catheterize the pt. While using sterile
cotton balls. to clean the pt prior to the procedure the nurse drops the contaminated cotton ball in
the middle of the sterile field. What is the correct action of the nurse at his time? ✔✔obtain a
new catheter kit and restart the procedure
the nurse received an order to collect a urine sample.Which characteristics would the nurse
observe for when assessing the pt's specimen? ✔✔clarity, odor, color, sediment
after completing an intermittent. cath, what info concerning the procedure will the nurse include i
the pt medical record? ✔✔time the procedure was performed, size of the cath used, xtics of the
urine obtained, description of the pt tolerance of the procedure
the nurse is providing ms.johnson discharge education about intermittent self cath. what
statement if made by the pt would indicate the need for further instrution? ✔✔i should maintain
sterile technique throughout the procedure
the nurse is completing documentation following the insertion of an intermittent cath. What
should be included in the documentation? ✔✔date the procedure was performed, time the
procedure was performed, size of the cath, pt tolerance of the procedure
Ms. Johnson is being discharged with order to continue the med oxybutynin. what info should be
included in the teaching session? ✔✔This medication helps reduce bladder spasms
Ms. Johnson asks: why do i need to self- cath at regular intervals? what would be appropriate
response by the nurse? ✔✔this helps prevent your bladder from becoming overdistended.
The nurse is providing pt education on self- cath. What statement by Ms. Johnson indicates the
need for additional teaching? ✔✔i can use either an indwelling or intermittent cath
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