A Nurse Is Caring for a Client with an Indwelling

question 9

Multiple Choice

A nurse is caring for a client with an indwelling Foley catheter. Which intervention takes highest priority?

• A) Administer antispasmotics for bladder spasms.
• B) Provide meticulous perineal care.
• C) Provide privacy when assessing the catheter's patency.
• D) Record accurate I&O.

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Definitions:

Wheeze

A high-pitched sound produced by air moving through narrowed respiratory airways, often heard in asthmatic conditions.

Cheyne-Stokes

A pattern of breathing characterized by a gradual increase in the depth of breathing followed by a decrease, resulting in temporary stoppages of breathing; often associated with serious illness.

Larynx

The voice box located in the neck, which houses the vocal cords and is involved in breathing, producing sound, and protecting the trachea against food aspiration.

Cartilages

A flexible, strong connective tissue found in various parts of the body such as joints, nose, and ears, providing support and cushioning.