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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Standing at his left side and holding his arm:
The nurse should stand on the affected (weaker) side to provide support and prevent falls. Holding the arm is unsafe and does not offer adequate support.

B. Standing at his left side and holding one arm around his waist:
Being on the stronger (left) side does not offer the necessary support for the weaker (right) side.

C. Standing at his right side and holding his arm:
Although standing on the correct side, holding the arm can cause injury and does not provide a secure grip.

D. Standing at his right side and holding one arm around his waist:
The nurse should stand on the weaker (right) side and use a gait belt or support around the waist for safe ambulation.

A. 60 B. 80 C. 140 D. 200

Correct Answer is B

Explanation

A. 60:
This is the diastolic pressure, not the pulse pressure.

B. 80:
Pulse pressure = Systolic – Diastolic → 140 – 60 = 80. This is the correct calculation.

C. 140:
This is the systolic pressure, not the pulse pressure.

D. 200:
This is not a relevant value in this context and is mathematically incorrect.

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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?

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