A nurse notices a teenage patient with paraplegia in a wheelchair crying. What should the nurse’s response be?

“I’ll return later, and we can talk.”.

“Everything will be okay.”.

“Do you feel like crying helps?”

“Would you like to be alone?”

Answer and Explanation

The Correct Answer is A

Choice A rationale

The nurse should respect the patient’s need for space while also expressing willingness to talk when the patient is ready.

Choice B rationale

Telling the patient “Everything will be okay” may seem dismissive of the patient’s feelings and may not be helpful in this situation.

Choice C rationale

Asking “Do you feel like crying helps?” might come across as judgmental or dismissive.

Choice D rationale

Asking “Would you like to be alone?” might make the patient feel isolated or abandoned.

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Free Nursing Study Resources

Correct Answer is D,A,F,C,E,B

Explanation

The correct sequence for pouring a sterile solution is: D, A, F, C, E, B

A. “Use soap and water to clean the catheter after each use.”. B. “Hold the penis at a 30 to 45-degree angle when inserting the catheter.”. C. “Perform catheterization when you feel the urge to void.”. D. “Inflate the balloon when the urine flow stops.”.

Correct Answer is A

Explanation

Choice A rationale

Cleaning the catheter after each use with soap and water is a crucial step in preventing infection during self-catheterization.

Choice B rationale

The angle at which the penis should be held during catheter insertion can vary, but a 30 to 45- degree angle is not typically recommended.

Choice C rationale

Performing catheterization when feeling the urge to void is not typically part of the instructions for clean intermittent self-catheterization.

Choice D rationale

Inflating the balloon when the urine flow stops is not a step in clean intermittent self- catheterization. This step is associated with indwelling catheters, not intermittent catheters.

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A nurse notices a teenage patient with paraplegia in a wheelchair crying. What should the nurse’s response be?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting a healthcare provider with a sterile procedure and is preparing to pour solution onto a sterile piece of gauze. In what sequence should the nurse perform the following steps when pouring the sterile solution?

Correct Answer is D,A,F,C,E,B

Explanation

A nurse is providing discharge instructions about clean intermittent self-catheterization to a patient who has benign prostatic hyperplasia. Which of the following instructions should the nurse include?

Correct Answer is A

Explanation

A nurse is caring for a 3-year-old child who has had 160 mL of urine output over the past 8-hour period. The child weighs 33 lb. Which of the following actions should the nurse take?

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A nurse is developing a plan of care for a patient who practices Islam. Which of the following actions should the nurse include in the plan?

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