A charge nurse is teaching a group of nurses about decreasing the risk for catheter- associated urinary tract infections in clients. Which of the following information should the nurse include in the teaching?

"Disconnect the drainage tube if the catheter requires irrigation."

"Keep the collection bag below bladder level."

"Use a size 20 French catheter for catheterization."

"Allow the drainage bag to fill completely before emptying

Answer and Explanation

The Correct Answer is B

A.   Disconnecting the drainage tube can introduce bacteria and increase the risk of infection.
B.   Maintaining the collection bag below the level of the bladder prevents backflow of urine and reduces the risk of infection.
C.   Catheter size selection is based on individual client factors and is not directly related to infection prevention.
D.   Allowing the drainage bag to overfill increases the risk of backflow and infection.

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Correct Answer is C

Explanation

A. While educating the client about the benefits of surgery is important, it is not appropriate to dismiss the client's concerns in this situation.

B. It is important to respect the client's autonomy and decision-making process. If the client expresses a desire to reconsider the surgery, their wishes should be respected.
C. The nurse should respect the client's decision and communicate their wishes to the surgical team for further discussion and decision-making.
D. While reassurance is important, it should be provided in a way that acknowledges and respects the client's concerns and decisions.

A. Denial B. Bargaining C. Acceptance D. Anger

Correct Answer is A

Explanation

A. Denial is the first stage of grief, in which the person refuses to accept the reality of their situation and tries to maintain a sense of normalcy. The client who says they are looking forward to seeing their grandchildren grow up is denying the fact that they have a terminal illness and that they may not live long enough to witness that.
B. Bargaining involves making deals with self and God to help feel better, for instance, in this case the client will be expressing the will to do anything to prolong his life.
C. Acceptance involves coming to terms with the reality of the situation and preparing for death. The client's statement does not indicate full acceptance.
D. Anger involves feelings of resentment or frustration. The client's statement does not express anger towards their situation.

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A charge nurse is teaching a group of nurses about decreasing the risk for catheter- associated urinary tract infections in clients. Which of the following information should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse on a surgical unit is caring for a client who is scheduled for surgery. The client states. "I cannot do this. I do not want this surgery." Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is caring for a client who was recently diagnosed with a terminal illness. The client tells the nurse, "I am looking forward to seeing my grandchildren grow up." The nurse should identify that the client is experiencing which of the following stages of grief?

Correct Answer is A

Explanation

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