Answer Happy

18 UNIT VI PROMOTING HEALTHY PHYSIOLOGI RESPONSES The nurse is assessing a patient's bladder vol- Consider an evaluation for urinary tract ume using an ultrasound bladder scanner infection Which nursing actions are performed cor- d. Ensure that the correct amount of solution rectly? (Select all that apply) was used to in late the balloon. a. The nurse gently palpates the patient's sym e funderfill is suspected, attempt to push physis pubis, the catheter further into the bladder. b. The nurse places a generous amount of ultrasound gel or gel pad midline on the £ Assess the patient for diarrhea. patient's abdomen, about 1 to 1.5 in above 7. The nurse is changing a stoma appliance on the symphysis pubis an ileal conduit. Which of the following c. The nurse places the scanner head on the nursing actions are recommended procedure? gelor gel pad, with the directional icon on Select all that apply) the scanner head pointed away from the 2. Gently remove the appliance, starting at patient's head. the top and keeping the abdominal skin d. The nurse aims the scanner head toward aut the bladder points the scanner head b. Remove appliance faceplate by pulling slightly downward toward the coccyx). appliance from skin rather than pushing e. The nurse adjusts the scanner head to cen- c. Apply a silicone-based adhesive remover by ter the bladder Image on the crossbars spraying or wiping as needed The nurse presses and holds the END but d. Clean skin around stoma with nicohol on a ton until it beeps three times and then gauze pad reads the volume measurement on the e. Make sure skin around stoma is thoroughly screen dry by putting it dry 6. The nurse is catheterizing a male urinary blad der, and urine leaks out of the meatus around f. Apply faceplate by using firm, even pressure the catheter. What actions would the nurse for approximately 60 seconds. perform next? Select all that apphu Hot Spot Questions a. Increase the size of the Indwelling catheter 1. Place an X on figures A and B below to iden- b. Make sure the smallest sized catheter with a tify the female and male urethras 10-ml balloon is used Copyright 2012 by Woudy Guide for at und Sonntead Caneth edition