The patient has a catheter that must be irrigated. The nurse is using a needleless closed irrigation technique. In which order will the nurse perform the steps, starting with the first one?
Clean injection port.
Inject prescribed solution.
Twist needleless syringe into port.
Remove clamp and allow to drain.
Clamp catheter just below specimen port.
Draw up prescribed amount of sterile solution ordered.
The Correct Answer is F,E,A,C,B,D
A. Clean injection port:
This is done after clamping and before connecting the syringe to prevent introducing infection.
B. Inject prescribed solution:
Done only after the syringe is connected to the port.
C. Twist needleless syringe into port:
This ensures a secure and sterile connection before irrigation.
D. Remove clamp and allow to drain:
This step ensures the irrigant and urine can flow out properly after irrigation.
E. Clamp catheter just below specimen port:
Done early to allow retention of solution during irrigation and prevent backflow.
F. Draw up prescribed amount of sterile solution ordered:
First step—preparing the exact amount of irrigation fluid needed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. An assessment of a client experiencing chest pain:
Assessments require clinical judgment and must be performed by a licensed nurse.
B. An admission assessment on a newly admitted patient:
Initial assessments are a RN responsibility and cannot be delegated.
C. Vital signs on a client that is ready for discharge:
CNAs can take routine vital signs. The nurse will still interpret them before discharge.
D. Administration of oral medications:
Medication administration must be performed by a licensed nurse or medication aide depending on state laws.
Correct Answer is A
Explanation
A. Have a medical interpreter present during the teaching:
Using a qualified medical interpreter ensures accurate communication, which is essential for informed consent.
B. Ask a family member to translate:
Family members may misinterpret or filter information, violating privacy and accuracy.
C. Tell the client that he will receive written information in his language after the procedure:
Patients must understand the procedure before it’s performed to provide informed consent.
D. Use nonverbal gestures to assure the client that the procedure is safe and will help him:
Nonverbal communication is not sufficient for informed consent or explanation of complex procedures.
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