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A nurse is preparing to insert an indwelling urinary catheter for a female client. Identify the sequence of actions the nurse should take. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Insert the catheter until a flow of urine begins.

Attach prefilled syringe to indwelling catheter inflation hub.

Lubricate the catheter and place fenestrated drape over perineum.

Apply sterile gloves and place cleansing balls in antiseptic solution.

Cleanse the meatus with the dominant hand in a downward motion.

Answer and Explanation

The Correct Answer is D,C,E,A,B

D. Apply sterile gloves and place cleansing balls in antiseptic solution.

C. Lubricate the catheter and place fenestrated drape over perineum.

E. Cleanse the meatus with the dominant hand in a downward motion.

A. Insert the catheter until a flow of urine begins.

B. Attach prefilled syringe to indwelling catheter inflation hub.

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Correct Answer is B

Explanation

A. Vancomycin is not typically associated with hepatotoxicity.

B. Ototoxicity, which can manifest as hearing loss or tinnitus, is a potential adverse reaction of vancomycin therapy, especially with prolonged or high-dose therapy. Monitoring for signs of hearing impairment is essential.

C. Hypercalcemia is not a common adverse reaction associated with vancomycin therapy.

D. Hypertension is not a common adverse reaction associated with vancomycin therapy.

A. Normal ECG with p wave preceding every QRS complex B. The strip shows bradycardia an is not consistent with atrial fibrillation C. Shows atrial fibrillation with tachycardia and absent p waves. D. Shows ventricular tachycardia

Correct Answer is C

No explanation

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A nurse is preparing to insert an indwelling urinary catheter for a female client. Identify the sequence of actions the nurse should take. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is C

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