The nurse is inserting a urinary catheter that has been prescribed for the client. When the tip of the catheter reemerges from the insertion site, which action should the nurse take next?
Increase the lighting in the room.
Obtain a new catheter.
Clean the catheter with providone-iodine.
Reposition the legs before reinsertion.
The Correct Answer is B
B. If the tip of the urinary catheter reemerges from the insertion site during insertion, it means that the catheter has become contaminated with microorganisms from the urethra or surrounding area. Continuing to insert the same catheter can introduce these microorganisms into the urinary tract, increasing the risk of urinary tract infection (UTI).
A. Increasing the lighting in the room allows for optimal visualization during the procedure, but it is not the priority action when the catheter has become contaminated.
C. Cleaning the catheter with providone-iodine is not sufficient to sterilize the catheter and eliminate the risk of introducing pathogens into the urinary tract.
D. Repositioning the legs before reinsertion does not address the contamination of the catheter and does not mitigate the risk of introducing pathogens into the urinary tract.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. A tort is a civil wrong that causes harm to another individual, and placing a client in restraints without having a healthcare provider's order is an example of a tort called false imprisonment.
B. Informing a client that the medication being administered is a vitamin. Providing false information about the nature of the medication could lead to harm or prevent the client from making an informed decision about their care. However, it does not constitute a tort
C. Enlisting security personnel to assist with restraining the client is not inherently a tort.
D. Administering medication behind a closed curtain may raise concerns about privacy and confidentiality, but it does not inherently constitute a tort.
Correct Answer is ["1"]
Explanation
There are 5 mL in one teaspoon, and 1 tablespoon is equivalent to 3 teaspoons, there are 15 mL in one tablespoon.
So, if 15 mL contains 30 mg of dextromethorphan, then:
1 tablespoon (15 mL) contains 30 mg of dextromethorphan.
Therefore, the nurse should instruct the client to take: 1 tablespoon
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