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Put the following steps for catheter insertion in order.

Gather supplies

Obtain urine specimen

Review the physician order

Secure the bag to leg

Perform pericare

Answer and Explanation

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

a. Gather supplies:
Needed after verifying the order to ensure all equipment is available for a sterile procedure.

b. Obtain urine specimen:
Done after insertion of the catheter once urine is seen in the tubing.

c. Review the physician order:
Always the first step-you must ensure there is a valid order before performing a procedure.

d. Secure the bag to leg:
This is the last step to prevent pulling on the catheter and ensure patient comfort.

e. Perform pericare:
Perineal care helps reduce the risk of infection and is done before insertion.

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Correct Answer is D

Explanation

A. Educate the patient about the importance of the medication:
Education is important, but understanding the reason for refusal comes first so that concerns can be addressed specifically.

B. Discreetly hide the medication in the patient’s favorite gelatin:
This violates ethical and legal standards of informed consent and autonomy.

C. Agree with the patient’s decision and document it in the chart:
You should respect the patient's decision, but only after understanding the reason and educating as appropriate.

D. Explore with the patient reasons for not wanting to take the medication:
This therapeutic communication technique helps the nurse understand the patient’s concerns and respond appropriately.

A. 300-450 ml B. 450-600 ml C. 750-1000 ml D. 200-500 ml

Correct Answer is C

Explanation

A. 300–450 mL:
This amount is acceptable to drain at one time. It is not considered excessive or dangerous.

B. 450–600 mL:
This is within a safe limit and does not pose risk for bladder spasms or hypotension.

C. 750–1000 mL:
Draining more than 750–1000 mL at once can lead to bladder spasms, hypotension, and hematuria due to rapid decompression of a distended bladder. This is too much to drain at once.

D. 200–500 mL:
This range is considered a safe and appropriate amount to drain in one go for most patients.

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Put the following steps for catheter insertion in order.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient refuses medication. Which is the nurse's first action?

Correct Answer is D

Explanation

How much urine is too much to drain at one time when a new insertion of a foley catheter is done?

Correct Answer is C

Explanation

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