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?

A. This option is not the best source of protein. While avocados are nutritious and contain healthy fats, they are low in protein. One cup of pureed avocado contains approximately 3 grams of protein, which is relatively low compared to other protein-rich foods. It’s better for providing healthy fats rather than substantial protein needed for wound healing.
B. This is the best source of protein among the choices. Lentils are an excellent source of plant-based protein, providing about 18 grams of protein per cup. They are also rich in fiber, vitamins, and minerals. For someone on a vegan diet, lentils can effectively support protein needs essential for wound healing and overall recovery.
C. This option is not the best source of protein. Brown rice is a good source of carbohydrates and provides about 5 grams of protein per cup, but it is not as protein-dense as lentils. While brown rice can be part of a balanced diet, it does not provide as much protein as lentils or other high-protein vegan foods.
D. This option does not provide significant protein. Orange juice is rich in vitamin C, which is important for wound healing, but it contains negligible protein. It's not a protein source and should not be relied upon for meeting protein needs.

A. While staying hydrated is important for overall health and can help with urinary tract infections, the recommended fluid intake for clients on ciprofloxacin is not specifically 1,000 milliliters. The more general advice is to drink plenty of fluids to help flush out bacteria from the urinary tract. The nurse should emphasize the importance of hydration but not specify a particular amount like 1,000 milliliters unless otherwise directed.
B. Ciprofloxacin should not be taken with antacids that contain calcium, magnesium, or aluminum because these can interfere with the absorption of the medication, reducing its effectiveness. Antacids should be taken at least 2 hours before or 6 hours after taking ciprofloxacin to avoid interactions.
C. Ciprofloxacin does not typically cause urine to turn dark orange. This side effect is more commonly associated with other medications, such as rifampin. The nurse should not expect ciprofloxacin to change the color of urine and should clarify any specific effects related to the medication.
D. Ciprofloxacin and other fluoroquinolones are associated with an increased risk of tendonitis and tendon rupture, particularly in the Achilles tendon. The nurse should instruct the client to report any new or worsening tendon pain, swelling, or discomfort immediately.