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

Cleanse the urethral meatus.

Apply sterile gloves.

Attach the pre-filled syringe to the inflation bulb.

Saturate the cotton balls with antiseptic.

Answer and Explanation

The Correct Answer is B

A. Cleanse the urethral meatus. This step occurs after preparing the sterile field and donning sterile gloves.
B. Apply sterile gloves. This is correct. The first step in the standardized procedure is to apply sterile gloves to maintain aseptic technique throughout the catheter insertion process.
C. Attach the pre-filled syringe to the inflation bulb. This step is part of the preparation but comes after the sterile gloves are applied.
D. Saturate the cotton balls with antiseptic. This step occurs after donning sterile gloves.

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Correct Answer is A

Explanation

A. African Americans Sickle cell disease is most prevalent among African Americans and people of African descent.
B. Southeast Asians This group is more at risk for thalassemia, not sickle cell disease.
C. Northern European Caucasians This group is more at risk for cystic fibrosis, not sickle cell disease.
D. Alaskan natives This group is not at a higher risk for sickle cell disease.

A. Teach the client to strain when having a bowel movement. B. Encourage the client to drink a hot beverage just before she needs to defecate. C. Allow the client to sit on the toilet for 1 hr to defecate. D. Limit exercise for the client while she is on the bowel training program.

Correct Answer is B

Explanation

A. Teach the client to strain when having a bowel movement. Straining can cause harm and is not recommended.
B. Encourage the client to drink a hot beverage just before she needs to defecate. A hot beverage can stimulate bowel movements and help establish a routine.
C. Allow the client to sit on the toilet for 1 hr to defecate. Prolonged sitting can cause discomfort and is not practical.
D. Limit exercise for the client while she is on the bowel training program. Exercise is beneficial for overall health and can promote regular bowel movements.

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