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","D","E"]
Explanation
A. Crackles upon auscultation: Crackles in the lungs can indicate fluid overload, leading to pulmonary edema.
B. Urine-specific gravity greater than 1.030: A urine-specific gravity greater than 1.030 typically indicates dehydration, not fluid volume excess.
C. Swelling at the IV site: Swelling at the IV site usually indicates infiltration or phlebitis, not necessarily fluid volume excess.
D. Bounding pulse: A bounding pulse is a sign of increased blood volume and can indicate fluid overload.
E. Pitting edema: Pitting edema is a common sign of fluid volume excess, particularly in the extremities.
Correct Answer is C
Explanation
A. Increased muscle tone of the bowel: Aging generally leads to decreased muscle tone and motility in the bowel, not increased. This option is incorrect.
B. Decreased pH of the stomach: Aging is associated with a decrease in gastric acid production, leading to a higher (less acidic) pH, not a lower (more acidic) pH. This option is incorrect.
C. Decreased intestinal peristalsis: Aging commonly results in decreased intestinal peristalsis, which can lead to constipation and other digestive issues. This option is correct.
D. Increased gastric acid production: Older adults typically experience decreased gastric acid production, not an increase. This option is incorrect.
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