The client asks the nurse "Why is it necessary to secure the indwelling urinary catheter to my thigh?" The nurse's best response would be. "It is Important to prevent:

urinary leakage around the catheter."

fecal matter from entering your bladder."

injury to your urethra."

the catheter from slipping out of your bladder."

Answer and Explanation

The Correct Answer is A

A. Urinary leakage around the catheter: Securing the indwelling urinary catheter to the thigh helps prevent urinary leakage around the catheter site. Catheter movement or dislodgement can lead to leakage of urine around the catheter, which can cause skin irritation, increase the risk of urinary tract infections (UTIs), and compromise hygiene. Securing the catheter to the thigh helps maintain its position and prevents movement that could contribute to leakage.

B. Fecal matter from entering your bladder: While securing the catheter can help maintain proper positioning and prevent movement, its primary purpose is not to prevent fecal matter from entering the bladder. Indwelling urinary catheters are inserted into the bladder through the urethra, and proper catheter placement and hygiene practices are essential for preventing contamination of the urinary tract with fecal matter.

C. Injury to your urethra: Securing the catheter to the thigh does not directly prevent injury to the urethra. Proper insertion technique and appropriate catheter size selection are more critical for preventing urethral injury during catheterization. Securing the catheter primarily aims to maintain its position and prevent movement that could potentially cause discomfort or complications.

D. The catheter from slipping out of your bladder: While securing the catheter can help prevent inadvertent dislodgement, its primary purpose is not to prevent the catheter from slipping out of the bladder. Proper catheter securement techniques, including securing it to the thigh or using catheter stabilization devices, help maintain the catheter's position and minimize movement, reducing the risk of accidental removal.

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Correct Answer is C

Explanation

A. Milk and cheese: While milk and cheese are sources of calcium and protein, they are not typically recommended as primary dietary choices for preventing or treating constipation. In fact, for some individuals, dairy products can contribute to constipation, particularly if they are consumed in excess or if the individual is lactose intolerant.

B. Lean meats: Lean meats provide protein and essential nutrients but are not specifically known for their role in preventing or treating constipation. While protein is important for overall health, focusing solely on lean meats may not provide the dietary fiber needed to promote regular bowel movements.

C. Fruit and vegetables: This statement is correct. Fruit and vegetables are rich sources of dietary fiber, which plays a crucial role in promoting healthy bowel function and preventing constipation. Fiber adds bulk to the stool, making it easier to pass through the digestive tract. Fruits such as apples, berries, and pears, as well as vegetables like broccoli, spinach, and carrots, are particularly high in fiber and can help alleviate constipation when included in the diet.

D. Bread and pasta: Bread and pasta are sources of carbohydrates, but they may not necessarily contain high levels of dietary fiber, especially if they are made from refined grains. While whole grain bread and pasta can provide more fiber than their refined counterparts, they may not be as effective in preventing or treating constipation compared to fruits and vegetables, which are naturally rich in fiber.

A. A document that the client signs indicating they wish to be an organ donor B. A medical order that outlines the client's wishes if cardiac or respiratory arrest occurs C. A witnessed legal document that describes the client's wishes regarding medical care if unable to speak D. A legal document that lists who gets the client's property & belongings before if they cannot communicate

Correct Answer is C

Explanation

A. A document that the client signs indicating they wish to be an organ donor: This describes an organ donor card or organ donation consent form, not a living will. An organ donor card is a document indicating the individual's wish to donate organs after death to benefit others in need of organ transplants.

B. A medical order that outlines the client's wishes if cardiac or respiratory arrest occurs: This describes a do-not-resuscitate (DNR) order, which is a medical order indicating that the individual does not wish to receive cardiopulmonary resuscitation (CPR) in the event of cardiac or respiratory arrest. It is specific to resuscitation preferences and is different from a living will.

C. A witnessed legal document that describes the client's wishes regarding medical care if unable to speak: This is the correct description of a living will. A living will is a legal document that outlines a person's preferences regarding medical treatment and interventions in the event they become incapacitated and unable to communicate their wishes. It typically addresses preferences for life-sustaining treatments, such as mechanical ventilation, artificial nutrition and hydration, and other medical interventions.

D. A legal document that lists who gets the client's property & belongings before if they cannot communicate: This describes a last will and testament, which is a legal document that outlines how a person's property and assets should be distributed after their death. It does not address medical care preferences or interventions during the person's lifetime.

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The client asks the nurse "Why is it necessary to secure the indwelling urinary catheter to my thigh?" The nurse's best response would be. "It is Important to prevent:

Nursing Test Bank

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Explanation

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Explanation

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