A nurse is preparing to insert an indwelling urinary catheter for a client. Which of the following actions should the nurse plan to take?
Test the balloon on the indwelling urinary catheter before insertion.
Use one cotton swab to clean the client's urinary meatus.
Don sterile gloves before inserting the indwelling urinary catheter.
Apply an oil-based lubricant to the indwelling urinary catheter.
The Correct Answer is C
Choice A reason: Testing the balloon is important, but it is not the action to take immediately before insertion.
Choice B reason: While cleaning the urinary meatus is necessary, using one cotton swab is not sufficient for proper aseptic technique.
Choice C reason: Donning sterile gloves is essential to maintain an aseptic technique during catheter insertion to prevent infection.
Choice D reason: An oil-based lubricant should not be used as it can increase the risk of infection and is not compatible with the catheter material; a water-soluble lubricant is recommended.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Having the client place their head between their knees may help with some causes of hyperventilation, but it is not a standard treatment for respiratory alkalosis.
Choice B reason: Having the client breathe into a paper bag can help to rebreathe exhaled carbon dioxide, which can
help correct the low carbon dioxide levels seen in respiratory alkalosis.
Choice C reason: Insulin is not indicated for respiratory alkalosis as it is used for the management of hyperglycemia, not for correcting acid-base imbalances.
Choice D reason: Sodium bicarbonate is used to treat metabolic acidosis, not respiratory alkalosis, and could
exacerbate the alkalosis.
Correct Answer is D
Explanation
Choice A reason: Memory loss is not typically associated with a lack of dietary fiber. Memory loss can be related to various neurological or psychological conditions.
Choice B reason: Bleeding gums are commonly associated with vitamin C deficiency, not a lack of dietary fiber.
Choice C reason: Brittle hair can be associated with poor nutrition in general, but it is not a specific indicator of inadequate fiber intake.
Choice D reason: Constipation is a well-known symptom of inadequate fiber intake. Fiber helps to bulk up the stool
and promotes regular bowel movements.
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