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. Radiologic is correct as a "dirty bomb" (radiological dispersal device) involves the dispersal of radioactive materials.

B. Anthrax is a biological agent, not associated with a dirty bomb.

C. Chemical refers to a chemical weapon, which is not what a dirty bomb involves.

D. Sarin is a nerve agent, not related to the concept of a dirty bomb.

A. "It is time to sign the consent so your treatment can begin." B. "Have you discussed other treatments with your provider?" C. "I can inform the surgeon you do not want the surgery." D. "I would not have this type of surgery if I were you."

Correct Answer is B

Explanation

Rationale:

A. "It is time to sign the consent so your treatment can begin." dismisses the client's valid question about alternative options and does not address their concern.

B. "Have you discussed other treatments with your provider?" is an appropriate response as it encourages the client to seek information about alternatives from their healthcare provider, who can offer comprehensive options and explanations.

C. "I can inform the surgeon you do not want the surgery." does not address the client's question about alternatives and assumes the client’s decision without further discussion.

D. "I would not have this type of surgery if I were you." is a personal opinion and is not appropriate for a nurse to provide, as it is not based on the client’s individual medical needs or informed consent principles.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an emergency department receives report from an emergency responder who states a client is being transported following exposure to a "dirty bomb". The nurse should prepare to care for a client that has been exposed to which of the following types of agents?

Correct Answer is A

Explanation

A nurse is preparing to witness informed consent for a client who is preoperative. The client asks the nurse, "Are there other options besides surgery?" Which of the following responses should the nurse make?

Correct Answer is B

Explanation

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