Catheterization is within the scope of practice of

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Catheterization is within the scope of practice of any nurse. A registered nurse or a licensed practical nurse with the consent of healthcare provider can administer medications via bladder instillation. A registered nurse or a licensed practical nurse can use a bladder scanner to measure postvoid residual volume (PRV). Text Reference - p. 1091 Which of the following must be completed by a registered nurse and is not in the scope of practice of a vocational or licensed practice nurse? 1 Identifying type of incontinence 2 Placement of the indwelling catheter placement 3 Administering medications via bladder instillation 4 Using a bladder scanner to measure postvoid residual volume (PRV) 82. 2 Inability to urinate with pain in the lower abdomen indicates urinary retention. If the postvoid residual (PVR) volume is above 100 mL, it indicates urinary retention. The cause of urinary retention is deficient detrusor contraction strength, in which the muscle no longer contracts with enough force to void the bladder. Obstruction with urinary stasis can be seen in patients with stress incontinence due to prostate cancer. Interference of urethral sphincter control causes urinary incontinence (UI). Colonization and infection of the upper urinary tract cause acute pyelonephritis. Text Reference - p. 1091 A patient who is unable to urinate reports pain in the lower abdomen. The postvoid residual (PVR) volume of the patient is 150 mL. What reason does the nurse suspect to be the cause of this finding in the patient? 1 Obstruction with urinary stasis 2 Deficient detrusor contraction strength 3 Interference of urethral sphincter control 4 Colonization and infection of the lower urinary tract 83. 4 Constipation is a frequent complication associated with urinary incontinence (UI). Therefore, patients should be taught to exercise lightly, increase intake of dietary fiber, and ensure adequate fluid intake. Lotions and sprays may irritate the skin causing skin infection and should be avoided. The patient should urinate regularly on a scheduled basis every two to three hours to empty the bladder. Coffee is a bladder irritant, which should be avoided or should be consumed in smaller amounts by patients who have UI. Text Reference - p. 1089 The nurse is teaching a patient how to manage urinary incontinence (UI). Which instruction would be beneficial to the patient? 1 "Use lotion or spray to prevent odor." 2 "Limit the times of urination during the day." 3 "Drink coffee frequently throughout the day." 4 "Perform light exercises to prevent constipation."
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84. 3 The registered nurse chooses the type and size of the catheter during catheterization. Anchoring the catheter in place is the role of unlicensed assistive personnel (UAP). A licensed practical/vocational nurse irrigates the catheter if obstruction is suspected and inserts an indwelling catheter for uncomplicated patients.
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  • Summer '18
  • NONE
  • urinary tract infection

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