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 B

Explanation

Rationale:

A. Making a copy of the incident report for the provider is not necessary; the report should be handled according to the facility’s protocol.

B. Submitting the incident report to the risk manager ensures it is reviewed and addressed appropriately, which is crucial for risk management and quality improvement.

C. Placing the incident report in the client’s chart is not appropriate as it is considered a confidential document related to quality and safety, not part of the client’s medical record.

D. Documenting in the chart that an incident report has been filed is not sufficient; the report should be submitted to the risk management team for review.

A. An experienced nurse is uncivil to a newly licensed nurse B. A nurse is uncertain about joining a professional nursing organization C. Nurses on the unit disagree about what time of day daily client weights should be obtained D. A nurse who just lost his spouse does not want to be assigned to care for a terminally ill client

Correct Answer is A

Explanation

Rationale:

A. An experienced nurse being uncivil to a newly licensed nurse is an example of interpersonal conflict, as it involves direct interaction and disagreement between individuals.

B. Uncertainty about joining a professional organization is a personal decision and not an interpersonal conflict.

C. Disagreements about the timing of client weights are more related to procedural issues than interpersonal conflicts.

D. Not wanting to care for a terminally ill client due to personal loss is a personal issue rather than an interpersonal conflict.

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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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