A nurse is delegating the collection of urinary output to an assistive personnel (AP). What should the nurse tell the AP to do while measuring the urine?
Tell the client to wash the urethra before voiding.
Wear gloves when handling a client's urine.
Use a clean measuring cup for each voiding
Compare the amount of output with intake
The Correct Answer is B
a) Tell the client to wash the urethra before voiding: While it is important for patients to maintain hygiene, instructing them to wash the urethra is not a necessary step for APs collecting urine output. It is important for the AP to focus on measuring output.
b) Wear gloves when handling a client's urine: The AP should always wear gloves when handling bodily fluids, including urine, to prevent contamination and the spread of infection.
c) Use a clean measuring cup for each voiding: Using a clean measuring cup is important for accurate measurements, but the focus here should be on wearing gloves and correctly measuring the urine.
d) Compare the amount of output with intake: Comparing output with intake is the responsibility of the nurse, not the AP. The AP should focus on collecting and accurately measuring the urine output.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
a) Discontinue the feedings and notify the physician of your assessment findings: These are signs of feeding intolerance or possible complications such as delayed gastric emptying, infection, or dumping syndrome. Stopping the feeding prevents further distress, and the physician should be informed promptly.
b) Continue feedings as ordered: Continuing feedings may worsen the symptoms and put the patient at risk for aspiration or further gastrointestinal complications.
c) Administer prn pain medication: Pain medication will not address the underlying issue of nausea, vomiting, and GI symptoms. It may also mask symptoms or cause further GI upset.
d) This is a normal response, continue feedings as ordered: These symptoms are not normal. Nausea, vomiting, distention, and frequent diarrhea suggest a problem with the feeding regimen.
Correct Answer is A
Explanation
a) Nothing by mouth: NPO stands for "Nil Per Os" in Latin, which means "nothing by mouth." This includes all food and fluids, and the patient would receive nutrition through other means such as enteral feedings.
b) Nocturnal feedings only: NPO refers to not taking anything by mouth at all, not just during certain times.
c) Administer by mouth: This would contradict the NPO order, which specifies that nothing should be taken orally.
d) Aspirate gastric contents: This is a procedure used for other purposes (like verifying placement of a tube), but it does not define what "NPO" means.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.