The nurse is preparing a bladder irrigation for an adult client who has a long-term indwelling urinary catheter. The urine is cloudy with fibrin clots and sediment. Which intervention should the nurse implement?

Power flush with 60 mL to remove mucous obstructions.

Slowly irrigate catheter with saline using an infusion pump.

Clamp the catheter for 30 minutes prior to irrigating.

Use a sterile syringe to irrigate with 20 mL normal saline.

Answer and Explanation

The Correct Answer is B

A. Power flushing with 60 mL might be too forceful and could potentially damage the bladder or catheter. It is important to use a gentle approach to avoid complications.
B. Slowly irrigating the catheter with saline using an infusion pump is appropriate for gently clearing the clots and sediment while maintaining a controlled flow rate. This method is effective in managing obstructions and maintaining catheter patency.
C. Clamping the catheter before irrigation is not recommended as it could lead to increased bladder pressure and discomfort. The goal is to maintain urine flow and prevent complications from clots.
D. Using a sterile syringe to irrigate with 20 mL normal saline may not be sufficient to clear larger clots and sediment. A controlled, slower irrigation method using an infusion pump is generally preferred.

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Correct Answer is A

Explanation

A. The log rolling technique is specifically intended to maintain straight spinal alignment, which is essential for preventing further injury or complications, particularly for patients with spinal injuries or undergoing post-surgical care. Proper spinal alignment is crucial during the turning process.
B. While working together can help decrease the risk of back injury for nurses, the primary purpose of the log rolling technique is to ensure the client’s spinal alignment.
C. Although using multiple people can enhance safety during the turning process, the main goal of the log rolling technique is to maintain spinal alignment rather than just increasing client safety.
D. Turning instead of pulling helps to reduce skin damage, but the primary reason for using the log rolling technique is to keep the spine aligned, not solely to address skin integrity.

A. Incorporate verbal analogies. B. Offer positive reinforcement. C. Provide physical demonstrations. D. Use simulation activities.

Correct Answer is D

Explanation

A. Verbal analogies can be useful in illustrating points, but they may not fully engage participants in hands-on problem-solving.
B. Positive reinforcement encourages participation, but it is not a problem-solving strategy in itself.
C. Physical demonstrations are helpful for teaching techniques but are less effective for fostering problem-solving abilities.
D. Simulation activities provide a dynamic and interactive way for participants to practice problem-solving. They mimic real-life scenarios, allowing individuals to engage in critical thinking and decision-making, which is especially effective for young adults who learn well through active participation.

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The nurse is preparing a bladder irrigation for an adult client who has a long-term indwelling urinary catheter. The urine is cloudy with fibrin clots and sediment. Which intervention should the nurse implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which explanation is best for the nurse to provide a client who asks the purpose of using the log rolling technique for turning?

Correct Answer is A

Explanation

The nurse plans to encourage a group of young adult clients to engage in problem-solving strategies. Which action is most useful for the nurse to include during the teaching session?

Correct Answer is D

Explanation

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