A nurse is preparing to insert an indwelling urinary catheter. Which of the following instructions should the nurse give the client to help ease the passage of the catheter through the urinary meatus?

"Raise your head off the pillow."

"Bear down."

"Hold your breath."

"Perform Kegel exercises."

Answer and Explanation

The Correct Answer is B

A.   Raising the head off the pillow is not relevant to easing the passage of the catheter through the urinary meatus.
B.   Bearing down can help relax the pelvic floor muscles, making it easier to insert the catheter through the urinary meatus.
C.   Holding the breath is not typically instructed during catheter insertion and may not aid in the ease of the procedure.
D.   Performing Kegel exercises involves contracting pelvic floor muscles, which is not the desired action when inserting a urinary catheter.

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Correct Answer is D

Explanation

A. The two-point gait requires partial weight-bearing on both legs, making it unsuitable for a client who can only bear weight on one leg.
B. The four-point gait also requires weight-bearing on both legs and provides maximum stability, but it is not appropriate for a client who can bear weight on only one leg.
C. The swing-through gait is generally used by clients with paralysis of the legs or for those who need to use both legs minimally while moving with crutches. It is not the most suitable option for a client with weight-bearing restrictions on one leg.
D. The three-point gait is the correct technique for a client who can bear weight on only one leg. In this gait, both crutches and the affected leg are moved forward together, followed by the weight-bearing leg. This method allows the client to ambulate safely while maintaining the non-weight-bearing leg off the ground.

A. "I will wear cotton socks with my shoes." B. "I will cut my nails so they are rounded at the corners." C. "I will use a mirror to inspect my feet daily." D. "I will buy my shoes late in the afternoon."

Correct Answer is B

Explanation

A. Wearing cotton socks is appropriate as they allow for better air circulation.
B. Cutting nails rounded at the corners can lead to ingrown toenails, which is not recommended for individuals with diabetes.
C. Using a mirror for daily foot inspection is a good practice to identify any issues early.

D. Buying shoes late in the afternoon accounts for any swelling that may occur during the day, which is a suitable practice for individuals with diabetes.

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A nurse is preparing to insert an indwelling urinary catheter. Which of the following instructions should the nurse give the client to help ease the passage of the catheter through the urinary meatus?

Nursing Test Bank

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