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

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Chew the sucralfate thoroughly before swallowing. Sucralfate should be swallowed whole or dissolved in water, not chewed.

B. Take sucralfate with a full glass of milk. Milk can interfere with the medication’s effectiveness.

C. Take an antacid with sucralfate. Antacids should be taken separately to avoid interaction.

D. Allow a 2-hour interval between these medications. Sucralfate can interfere with phenytoin absorption, so they should be spaced apart.

A. Abdominal distention B. Request for a cup of tea and some toast C. Hypoactive bowel sounds in two quadrants D. Passage of flatus

Correct Answer is D

Explanation

A. Abdominal distention. Distention is more indicative of a paralytic ileus or gas buildup, not return of peristalsis.

B. Request for a cup of tea and some toast. While appetite may return as peristalsis resumes, it is not a definitive sign.

C. Hypoactive bowel sounds in two quadrants. Hypoactive sounds suggest minimal bowel activity, not full peristalsis.

D. Passage of flatus. Passing gas is a key sign that peristalsis is returning postoperatively.

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A nurse is planning care for a group of patients. Which task will the nurse assign to the nursing assistive personnel (AP)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who takes phenytoin and has a new prescription for sucralfate tablets. Which of the following instructions should the nurse include?

Correct Answer is D

Explanation

A nurse is caring for a client who is postoperative following abdominal surgery. Which of the following findings should indicate to the nurse the client's peristalsis is returning?

Correct Answer is D

Explanation

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