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 C
Explanation
A. Sigmoid. The sigmoid colon is the last part of the intestine, where stool is more solid and formed.
B. Transverse. Stool in a transverse colostomy is semi-formed or pasty.
C. Ascending. An ascending colostomy produces very liquid stool because it is located near the beginning of the large intestine, where water absorption is minimal.
D. Descending. Stool in a descending colostomy is more solid and formed compared to the ascending and transverse colostomies.
Correct Answer is ["A","B","D","E"]
Explanation
A. How to open and close the pouch: The patient must be able to manage their pouch independently. This skill helps them maintain hygiene and prevent leakage.
B. How to determine whether the ostomy is healing appropriately: Patients should be educated on signs of infection, irritation, or necrosis around the stoma.
C. How to irrigate the colostomy: Not taught initially because irrigation is only necessary for some patients and is usually introduced later. It’s mainly for descending or sigmoid colostomies, not all types.
D. How to change the pouch: A crucial skill to prevent leakage and skin irritation.
E. How to empty the pouch: Patients should know when and how to empty it to maintain cleanliness and avoid leaks.
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