ATI LPN
Study Guide for Fundamentals of Nursing Care: Concepts, Connections & Skills
Chapter 31 : Urinary Elimination and Care Questions
Question 1 of 5
In catheters, the greater the size number, the larger the catheter.
Correct Answer: A
Rationale: Catheter size is measured in French (Fr) units, where a higher number indicates a larger diameter.
Question 2 of 5
You are caring for a patient who sustained a spinal cord injury 14 years ago. Two days ago, the health-care provider inserted an indwelling urinary catheter, size 18 Fr, which is to remain in place for several weeks to allow pressure ulcers to heal. The patient has had catheters off and on for many years. You note that urine is leaking around the catheter insertion site and that the patient's meatus is getting red and irritated. Which of the following actions represents the nursing interventions most likely to resolve this situation?
Correct Answer: C
Rationale: A smaller catheter (14 Fr) may reduce irritation and leakage, as a larger catheter can cause pressure and inflammation at the meatus.
Question 3 of 5
You are about to catheterize a female patient who is experiencing a decline in her physical condition. In fact, she is being transferred from your unit to the ICU. As you get ready to insert the catheter, the tip lightly brushes against the patient's leg. Which of the following possible actions should you perform next?
Correct Answer: A
Rationale: A catheter that touches the skin is contaminated and must be replaced to prevent infection.
Question 4 of 5
Which of the following makes catheterization difficult but represents normal anatomy in older women?
Correct Answer: B
Rationale: Atrophy of perineal tissues in older women can cause the urinary meatus to recede or appear within the vaginal opening, complicating catheterization.
Question 5 of 5
Circumcision is
Correct Answer: B
Rationale: Circumcision involves surgical removal of the foreskin in males.