21.18 Learning Activities

1. Your patient complains of pain while you are inflating the balloon during a urinary catheter insertion. Describe your next steps.

2. Your patient is admitted with a fractured head of the right femur and is scheduled for surgery in the next six hours. You have a prescription to insert a Foley catheter. After you assess the patient’s ability for the recommended position to insert the catheter, you note that the patient is unable to move the right leg and should not move the leg. Describe how you will proceed with the procedure.

3. A patient with a new colostomy refuses to look at the stoma or participate in changing the pouching system. What are some suggestions to help your patient adjust to the stoma?

4. The nurse is caring for a female patient who is experiencing inadequate bladder emptying. The nurse obtains an order to determine post-void residual. Which catheter type would the nurse use to evaluate post-void residual?

1. Coude catheter
2. Indwelling catheter
3. Straight catheter
4. Foley catheter

5. The nurse is caring for a patient who had a colostomy placed two days earlier. The nurse notes that the stoma is moist and beefy red. Which action should the nurse be expected to take based on these findings?

1. Notify the physician of the findings immediately.
2. Remove the bag and apply pressure to the stoma.
3. Document the assessment findings of the stoma.
4. Change the appliance pouch and clean the skin.

6. The nurse is providing patient education on the care of an ostomy. Which of the following statements by the patient would indicate that further education is necessary?

1. “I should plan to replace the pouch system every 8-10 days.”
2. “Wafer should be cut 1/16 to 1/8 an inch larger than the stoma.”
3. “It is important to chew all foods completely and slowly.”
4. “I will keep a diary of the foods I eat and my stool pattern.”