A student nurse is performing a urinary catheterization for the first time and inadvertently contaminates the catheter by touching the bed linens. What should the nurse do to maintain surgical asepsis for this procedure?

Complete the procedure and then report what happened.

Apologize to the client and continue on with the procedure.

Nothing because the client is on antibiotics.

Gather new sterile supplies and start the procedure over.

Answer and Explanation

The Correct Answer is D

The correct answer is choice D. Gather new sterile supplies and start the procedure over.

In order to maintain surgical asepsis during a urinary catheterization procedure, the nurse must ensure that all equipment used is sterile and that there is no contamination of the equipment during the procedure. If the catheter is contaminated, the nurse should stop the procedure, gather new sterile supplies, and start the procedure over to prevent the introduction of bacteria into the urinary tract. Reporting the incident and apologizing to the client are important, but not the first priority in maintaining surgical asepsis. The fact that the client is on antibiotics does not change the need for sterile technique during the procedure.

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Correct Answer is C

Explanation

The correct answer is choice C. "I will need palliative care to assist with treating my symptoms so that I can have quality of life across the span of my illness." Palliative care aims to improve the quality of life of patients and their families facing life-threatening illnesses. The goal of palliative care is to provide symptom management, pain relief, and support to patients and families throughout the course of their illness. Hospice care is a type of palliative care for patients with a life expectancy of six months or less, where the focus of care is comfort rather than curative treatment.

A. stage I B. stage II C. stage III D. stage IV E. stage IV

Correct Answer is D

Explanation

The correct answer is choice D. The description of full-thickness skin and tissue loss with exposed muscle, tendon, and bone in the ulcer indicates a pressure ulcer that is categorized as stage IV. In this stage, the ulcer is characterized by fullthickness tissue loss, exposing muscle, bone, or tendons. Stage I (choice A) pressure injuries involve non-blanchable erythema of intact skin. Stage II (choice B) pressure injuries involve partial-thickness skin loss, which can involve the epidermis, dermis, or both. Stage III (choice C) pressure injuries involve fullthickness tissue loss, but not bone, tendon, or muscle. Therefore, based on the description provided, the pressure ulcer is categorized as stage IV.

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A student nurse is performing a urinary catheterization for the first time and inadvertently contaminates the catheter by touching the bed linens. What should the nurse do to maintain surgical asepsis for this procedure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

While caring for a female patient with advanced multiple sclerosis, the nurse is discussing the difference between hospice and palliative care. Which statement by the patient indicates understanding of the difference between hospice care and palliative care?

Correct Answer is C

Explanation

A nurse assesses a patient's pressure injury and documents the following: fullthickness skin and tissue loss with exposed muscle, tendon, and bone in the ulcer. This pressure ulcer is categorized to be at which of the following stages?

Correct Answer is D

Explanation

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