The nurse observes nursing assistive personnel (NAP) taking the following actions when caring for a patient with a retention catheter. Which action requires that the nurse intervene?

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Question 1 of 5

The nurse observes nursing assistive personnel (NAP) taking the following actions when caring for a patient with a retention catheter. Which action requires that the nurse intervene?

Correct Answer: D

Rationale: Disconnecting the catheter (D) increases UTI risk by breaking sterility, requiring nurse intervention. Taping (A), cleaning (B), and hand hygiene (C) are appropriate, making D the action to stop.

Question 2 of 5

The nurse is collecting data for a patient who has stress incontinence. Which of these findings would the nurse document?

Correct Answer: B

Rationale: Stress incontinence (B) involves small urine loss with increased abdominal pressure (e.g., coughing), a classic finding. Bathroom access (A) is functional, emotional stress (C) isn't typical, and sensation loss (D) is urge incontinence, making B the documentation.

Question 3 of 5

Normally, the bladder contains less than ___ mL after urination.

Correct Answer: B

Rationale: Post-void residual is normally <50 mL (B), ensuring effective emptying. 25 mL (A) is possible but not the upper limit, and 75-100 mL (C, D) suggest retention, making B the correct amount.

Question 4 of 5

The care team is considering the use of dialysis in a patient whose renal function is progressively declining. Renal replacement therapy is indicated in which of the following situations?

Correct Answer: D

Rationale: Renal replacement therapy like dialysis is indicated when ~80% of nephrons fail (D), reducing function to <20%, causing severe symptoms unmanageable by diet or drugs. Normal creatinine is 0.6-1.2 mg/dL (A is wrong), BUN 15 mg/dL (B) is normal (7-20 mg/dL), and 40% loss (C) is insufficient for dialysis, making D the threshold.

Question 5 of 5

A patient is complaining of genitourinary pain shortly after returning to the unit from a scheduled cystoscopy. What intervention should the nurse perform?

Correct Answer: C

Rationale: Moist heat to the lower abdomen (C) relieves post-cystoscopy pain and relaxes muscles. Mobilization (A), lidocaine (B), or ice (D) aren't recommended, making C the intervention.

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