A nurse is preparing to insert an indwelling urinary catheter for a client. Which of the following actions should the nurse plan take?
Use one cotton swab to clean the client's urinary meatus.
Don sterile gloves before inserting the indwelling urinary catheter.
Test the balloon on the indwelling urinary catheter before insertion.
Apply an oil-based lubricant to the indwelling urinary catheter.
The Correct Answer is B
A. Use one cotton swab to clean the client's urinary meatus: Multiple cotton swabs should be used to clean in a systematic manner to maintain asepsis.
B. Don sterile gloves before inserting the indwelling urinary catheter. Sterile technique is essential to prevent urinary tract infections (UTIs) during catheter insertion.
C. Test the balloon on the indwelling urinary catheter before insertion: Pretesting the balloon is unnecessary and may compromise sterility or damage the balloon.
D. Apply an oil-based lubricant to the indwelling urinary catheter: Only water-based lubricants should be used to prevent catheter damage or client harm.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Hyperventilation: Hyperventilation leads to excessive CO₂ loss, which is the primary cause of respiratory alkalosis.
B. Dry skin: Dry skin is not a typical finding; respiratory alkalosis more commonly affects neurological or muscular systems.
C. Diarrhea: Diarrhea is more often associated with metabolic acidosis.
D. Abdominal pain: Abdominal pain is not a direct manifestation of respiratory alkalosis.
Correct Answer is B
Explanation
A. "Your inspiration should be longer than expiration during purse-lipped breathing.": Expiration should be longer than inspiration to allow full exhalation of trapped air.
B. "You should inhale through your nose and exhale through your mouth during purse-lipped breathing.": Pursed-lip breathing involves inhaling through the nose and exhaling slowly through pursed lips to promote better oxygen exchange and prevent air trapping.
C. "You should cough forcefully during exhalation when you are purse-lipped breathing.": Pursed-lip breathing focuses on slow, controlled exhalation, not forceful coughing.
D. "You should be flat on your back when you perform purse-lipped breathing.": An upright position enhances lung expansion and makes breathing more effective.
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