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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Determining social skills is not directly related to task delegation.
B. Assessing ability to follow the client's teaching plan is beyond the scope of AP duties.
C. Providing a clear description of the task ensures that the AP understands what is expected, which is essential for effective delegation.
D. Evaluating ability to work with peers is important but not the primary focus for task delegation.
Correct Answer is A
Explanation
Rationale:
A. Transporting a school-age client who is in traction involves handling a medical condition that may require specialized knowledge and skills beyond the volunteer’s capabilities.
B. Reading a book to a client who has AIDS is a supportive activity and does not pose significant risks.
C. Rocking an infant with croup is generally safe and provides comfort to the child.
D. Playing a computer video game with an adolescent is a non-medical activity that is appropriate for a volunteer.
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