A charge nurse is observing a nurse Insert an indwelling urinary catheter into a female client. For which of the following actions by the nurse should the charge nurse intervene?

The nurse coats the indwelling urinary catheter with lubricant.

The nurse applies the sterile drape prior to inserting the urinary catheter.

The nurse provides perineal care prior to inserting the urinary catheter.

The nurse separates the client's labia with her dominant hand.

Answer and Explanation

The Correct Answer is D

Rationale:

A. The nurse coats the indwelling urinary catheter with lubricant is correct and necessary for the procedure to reduce discomfort and facilitate insertion.

B. The nurse applies the sterile drape prior to inserting the urinary catheter is a proper step to maintain a sterile field during the procedure.

C. The nurse provides perineal care prior to inserting the urinary catheter is appropriate as it ensures cleanliness before catheter insertion.

D. The nurse separates the client's labia with her dominant hand should not be done; the non-dominant hand should be used to hold the labia apart to maintain sterility.

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Correct Answer is A

Explanation

Rationale:

A. Cooperating involves finding a solution that satisfies both parties, as seen in allowing the nurses to go to lunch together while managing their clients.

B. Compromising would involve both parties giving up something to reach a middle ground, which is not exactly what is described.

C. Avoiding would mean not addressing the conflict directly, which is not the case here.

D. Competing involves asserting one’s own position at the expense of others, which does not align with the actions described.

A. The National Council of State Boards of Nursing Decision Tree B. The state Nurse Practice Act C. The Omnibus Budget Reconciliation Act of 1987 D. The National Association for Practical Nurse Education and Services

Correct Answer is B

Explanation

Rationale:

A. The National Council of State Boards of Nursing Decision Tree provides guidance for decision-making but does not specifically address delegation.

B. The state Nurse Practice Act defines the scope of practice for RNs and LPNs and is essential for understanding what tasks can be delegated.

C. The Omnibus Budget Reconciliation Act of 1987 primarily pertains to nursing home regulations and does not directly address task delegation.

D. The National Association for Practical Nurse Education and Services focuses on LPN education and standards, but the state Nurse Practice Act is more directly relevant to delegation.

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A charge nurse is observing a nurse Insert an indwelling urinary catheter into a female client. For which of the following actions by the nurse should the charge nurse intervene?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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