A patient with an indwelling urinary catheter has been given a bed bath by a new nursing assistant. The registered nurse evaluating the cleanliness of the patient notices crusting at the urinary meatus. The best next action of this nurse is to:
Stay in the room and ask the nursing assistant to observe the nurse performing catheter care
After leaving the room, ask the nursing assistant to go back and perform proper catheter care
Discontinue the catheter
Document the incident in the patient's chart
The Correct Answer is A
A. Staying in the room allows the nurse to provide direct supervision and education to the nursing assistant on proper catheter care.
B. Asking the nursing assistant to return after leaving the room does not provide immediate guidance and may not address the problem effectively.
C. Discontinuing the catheter may not be necessary; proper care can often resolve cleanliness issues.
D. While documentation is important, immediate action to correct the care is more crucial.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Venting can be therapeutic, but it doesn’t directly promote self-awareness.
B. Allowing open exploration of thoughts and feelings helps the patient reflect and gain insight into their emotions and behaviors.
C. Physically punching a pillow does not facilitate self-awareness and may encourage aggressive behavior.
D. Writing complaint letters might help express frustration but does not foster self-awareness.
Correct Answer is C
Explanation
A. Sympathy is important, but it is not the only factor in effective communication.
B. Automatic responses may lack personalization and hinder effective communication.
C. Self-examination of personal communication skills allows for improvement and adaptation in interactions with patients.
D. Passive remarks do not facilitate effective communication or engagement.
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