A nurse is teaching a newly licensed nurse about the function of the large intestine. Which of the following information should the nurse include?
It produces vitamin D.
It absorbs liquid to form stool.
It prevents the reflux of food into the esophagus.
It secretes enzymes to digest food.
The Correct Answer is C
A. The nurse coats the indwelling urinary catheter with lubricant. This is correct procedure and requires no intervention. Lubricating the catheter reduces friction and discomfort during insertion.
B. The nurse applies the sterile drape prior to inserting the urinary catheter. This is correct procedure and requires no intervention. The sterile drape maintains a sterile field.
C. The nurse separates the client's labia with her dominant hand. The nurse should separate the client's labia with her non-dominant hand, which then remains in place as a "dirty" hand. The dominant hand, which remains sterile, is used to insert the catheter.
D. The nurse provides perineal care prior to inserting the urinary catheter. This is correct procedure and requires no intervention. Perineal care reduces the risk of introducing bacteria into the urinary tract.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "Increase your daily fluid intake." Increasing fluid intake can help soften the stool, making it easier to pass and reducing constipation.
B. "Try to defecate at different times of the day." Establishing a regular time each day for bowel movements can help train the bowel and prevent constipation.
C. "Consume a low-fiber diet." A low-fiber diet can worsen constipation. A high-fiber diet is recommended to add bulk to the stool and promote regular bowel movements.
D. "Reduce your daily activity." Regular physical activity helps stimulate bowel motility and can reduce the likelihood of constipation.
Correct Answer is C
Explanation
A. "Small electrodes are placed on my scalp." This statement describes an EEG, not the Rinne test. The Rinne test involves a tuning fork, not electrodes. This statement is incorrect.
B. "I will wear earphones during this test." This statement describes an audiometry test, not the Rinne test. The Rinne test uses a tuning fork, not earphones. This statement is incorrect.
C. "A tuning fork is placed on my head." The Rinne test is a hearing test that involves placing a vibrating tuning fork on the mastoid process behind the ear and then comparing the sound conducted through bone to the sound conducted through air.
D. "A small probe is placed inside my ear." This statement describes tympanometry or other tests that involve probes in the ear, not the Rinne test. The Rinne test uses a tuning fork placed on the mastoid bone and near the ear canal. This statement is incorrect.
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