A nurse is watching a nursing assistive personnel (AP) perform a postvoid bladder scan on a female with a previous hysterectomy. Which action will require the nurse to follow up?
Wipes scanner head with alcohol pad.
Palpate the patient's symphysis pubis.
Sets the scanner to female.
Applies a generous amount of gel
The Correct Answer is C
A. Wipes scanner head with alcohol pad: Correct technique to prevent infection.
B. Palpates the patient's symphysis pubis: Helps position the scanner correctly over the bladder.
C. Sets the scanner to female: After a hysterectomy, the client should be set to "male" mode because the removal of the uterus alters pelvic anatomy, affecting scan accuracy.
D. Applies a generous amount of gel: Ensures proper ultrasound transmission and a clear image.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Continuous output from the stoma. Ileostomies typically have continuous liquid output, which is expected.
B. Presence of blood in the stool: Blood in the stool can indicate stomal irritation, ulceration, or bleeding from the intestines, which requires immediate medical attention.
C. Malodorous stool. While foul-smelling stool can suggest an issue (e.g., infection), it is not necessarily an emergency.
D. Liquid consistency with hard stool particles. Ileostomy output is expected to be liquid, and occasional solid particles may occur if certain foods are not fully digested.
Correct Answer is D
Explanation
A. Chew the sucralfate thoroughly before swallowing. Sucralfate should be swallowed whole or dissolved in water, not chewed.
B. Take sucralfate with a full glass of milk. Milk can interfere with the medication’s effectiveness.
C. Take an antacid with sucralfate. Antacids should be taken separately to avoid interaction.
D. Allow a 2-hour interval between these medications. Sucralfate can interfere with phenytoin absorption, so they should be spaced apart.
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