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

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Report a positive finding to the provider. A positive guaiac test indicates the presence of blood in the stool, which may suggest gastrointestinal bleeding, colorectal cancer, or other GI disorders. It must be reported for further evaluation.

B. Don sterile disposable gloves. Sterile gloves are not required. Clean gloves are sufficient because this is a non-sterile procedure.

C. Test the quality control section before testing the stool specimen. There is no quality control section on a fecal occult blood test. The test involves applying stool to a guaiac card and adding developer.

D. Apply liberal amounts of stool to the guaiac paper. Only a thin smear of stool is required; too much stool may interfere with accurate test results.

A. “The medication works by relaxing gastric muscles." B. "The medication relieves nausea by slowing peristalsis." C. “The medication relieves nausea by promoting gastric emptying." D. “The medication works by decreasing gastric acid secretions."

Correct Answer is C

Explanation

A. “The medication works by relaxing gastric muscles." Metoclopramide stimulates gastric motility rather than relaxing muscles.

B. "The medication relieves nausea by slowing peristalsis." Metoclopramide actually increases peristalsis to help empty the stomach.

C. "The medication relieves nausea by promoting gastric emptying." Metoclopramide is a prokinetic agent that enhances stomach emptying, which helps reduce nausea.

D. "The medication works by decreasing gastric acid secretions." Metoclopramide does not reduce acid secretion; it improves gastric motility.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse performing a fecal occult blood test should take what action?

Correct Answer is A

Explanation

A nurse is caring for a client who has nausea and a prescription for metoclopramide intermittent IV bolus every 4 hr as needed. The client asks the nurse how metoclopramide will relieve her nausea. Which of the following explanations should the nurse provide?

Correct Answer is C

Explanation

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