The practical nurse (PN) is assisting with preparation of a client for fecal diversion surgery. While inserting an indwelling urinary catheter, the client asks if the surgical opening will be visible. Which action should the PN implement?
Ask the client if he finished the bowel sterilization prescription.
Review the client's expectations of elimination after surgery.
Verify that the client had nothing by mouth (NPO) for the past 24 hours.
Determine if this is the first indwelling catheter the client has had.
The Correct Answer is B
A. Asking about the bowel sterilization prescription doesn't address the client's concern regarding the visibility of the surgical opening.
B. Reviewing the client's expectations after surgery could address the client's query about the visibility of the surgical opening and offer information regarding elimination.
C. Verifying the NPO status is important for surgery preparation but doesn’t directly address the client's specific concern.
D. Determining if this is the first indwelling catheter doesn’t directly address the client's immediate concern regarding the surgical opening.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Correct Answer: B. Rationale:
A. The last time food was consumed may be relevant for some medical procedures but isn't directly related to an MRI.
B. Knowing the presence of a metal implant is crucial before an MRI due to potential interference with the machine.
C. History of the previous myelogram might be relevant but is not as critical for an MRI. Allergy to iodine-based dyes is more pertinent for procedures like a CT scan with contrast, not necessarily an MRI.
Correct Answer is B
Explanation
A. Acknowledging the general demographics of the disease might indicate understanding but does not explicitly show acceptance of the prognosis.
B. This statement reflects a level of acceptance as the client has found support and comfort from faith and family, indicating a more positive coping mechanism.
C. This statement indicates a sense of disbelief or denial rather than acceptance of the prognosis.
D. Rejecting others' negative statements about the disease doesn’t necessarily indicate acceptance of one's prognosis; it may reflect resistance or denial.
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