A charge nurse is observing a newly-licensed nurse insert an Indwelling urinary catheter for a male client. Which of the following actions by the newly-licensed nurse requires intervention by the charge nurse?
Lubricates the first 2.5 to 5 cm (2 in) of the catheter.
Dons sterile gloves before cleaning the client's meatus.
Secures the tubing to the client's upper thigh.
Pulls gently on the catheter to check for resistance after inflating the balloon.
The Correct Answer is C
A. Lubricating the catheter helps reduce friction and discomfort during insertion.
B. Sterile gloves help prevent the introduction of microorganisms into the urinary tract.
C. Securing the tubing to the client's upper thigh can lead to discomfort and increased risk of skin irritation. The tubing should be secured to the client's lower abdomen or inner thigh to prevent tension and potential complications.
D. Gently pulling on the catheter after inflating the balloon helps ensure that the balloon is fully inflated and properly positioned in the bladder.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. This vitamin is essential for wound healing. It plays a critical role in cellular immune responses, skin integrity, and the repair of epithelial tissues. Vitamin A helps in the formation of new skin cells and promotes collagen synthesis, which is vital for wound healing.
B. While vitamin D is crucial for bone health and calcium absorption, its direct role in wound healing is less pronounced compared to other nutrients. Vitamin D supports overall immune function, which can indirectly support the healing process, but it is not as directly involved in wound repair as vitamin A or other specific nutrients.
C. Vitamin B1 is important for carbohydrate metabolism and nerve function, but its direct role in wound healing is minimal compared to other vitamins. While essential for overall health, vitamin B1 does not specifically target wound healing processes.
D. Calcium is crucial for bone health and muscle function. It plays a role in blood clotting and can support overall health, but its direct impact on wound healing is less significant compared to nutrients like vitamin A and vitamin C.
Correct Answer is D
Explanation
A. Drinking adequate fluids is essential during pregnancy to support overall health and amniotic fluid levels. A general recommendation is to drink about 2 to 3 liters (8-12 cups) of fluids per day. This includes water, and sometimes other beverages and soups.
B. It is well-established that alcohol consumption during pregnancy is harmful and can lead to serious conditions such as fetal alcohol syndrome. The advice to avoid alcohol entirely during pregnancy is accurate and reflects current medical guidelines.
C. Moderate caffeine consumption is generally considered acceptable during pregnancy. Most guidelines suggest limiting caffeine intake to about 200-300 milligrams per day (equivalent to about 1-2 cups of coffee). This advice is consistent with current recommendations.
D. The recommended daily calcium intake during pregnancy is typically around 1,000 milligrams per day for most pregnant women. An intake of 1,500 milligrams per day is higher than the usual recommendation and may not be necessary unless specifically advised by a healthcare provider for individual circumstances.
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