A nurse is planning care for a group of patients. Which task will the nurse assign to the nursing assistive personnel (AP)?
Irrigating a catheter
Interpreting a bladder scan result
Obtaining a midstream urine specimen
inserting a straight catheter
The Correct Answer is C
A. Irrigating a catheter: Catheter irrigation requires sterile technique and nursing judgment, making it an inappropriate task for an AP. It must be performed by a licensed nurse.
B. Interpreting a bladder scan result: APs may perform bladder scans in some settings, but interpretation of results requires nursing knowledge and clinical decision-making, which is beyond their scope of practice.
C. Obtaining a midstream urine specimen: Collecting a urine specimen is a non-invasive task that falls within the scope of practice for an AP, as it does not require sterile technique or nursing assessment.
D. Inserting a straight catheter: Insertion of a catheter requires sterile technique and nursing assessment, making it a task reserved for licensed nurses.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.8"]
Explanation
Heparin 3,800 units is prescribed.
Available concentration: 5,000 units/mL.
Dose to administer=Ordered Dose / Available concentration
=3800 / 5000
= 0.76mL
Rounded to the nearest tenth: 0.8 mL.
Correct Answer: 0.8 mL
Correct Answer is C
Explanation
A. Hold the penis at a 30° to 45° angle when inserting the catheter. The penis should be held at a 90° angle to straighten the urethra and facilitate catheter insertion.
B. Perform catheterization when you recognize the urge to void. Clients with BPH may not sense the urge due to urinary retention. Catheterization should be performed at scheduled intervals to prevent bladder overdistention.
C. Use soap and water to wash the catheter after each use. Proper cleaning of the catheter with soap and water helps prevent infection and prolongs the catheter’s usability.
D. Inflate the balloon when the urine flow stops. Self-catheterization uses a straight catheter, which does not have a balloon for inflation (balloons are used in indwelling catheters).
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