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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. "I do my wheelchair exercises sitting in my chair.": Exercises improve circulation and promote bowel and bladder health.

B. "I carry a water bottle with me because I drink a lot of water.": Staying hydrated is essential for preventing urinary tract infections and promoting bowel health.

C. "I need to catheterize myself twice a day.": This indicates a need for further teaching. Catheterization for clients with neurogenic bladder is usually performed more frequently (every 4–6 hours) to prevent urinary retention, infections, or bladder distension.

D. "I use a suppository every night to have a bowel movement.": Establishing a bowel routine with suppositories is a standard practice for clients with spinal cord injuries.

A. Left ventricle B. Pulmonary veins C. Pulmonary artery D. Left atrium

Correct Answer is C

Explanation

A. Left ventricle: The left ventricle pumps oxygenated blood into the systemic circulation, not to the lungs.

B. Pulmonary veins: Pulmonary veins carry oxygenated blood from the lungs to the left atrium, not deoxygenated blood from the heart.

C. Pulmonary artery: The pulmonary artery carries deoxygenated blood from the right ventricle to the lungs for oxygenation.

D. Left atrium: The left atrium receives oxygenated blood from the pulmonary veins, not deoxygenated blood from the right ventricle.

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A nurse is preparing to insert an indwelling urinary catheter for a client. Which of the following actions should the nurse plan take?

Nursing Test Bank

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