A nurse is caring for a client who repeatedly refuses meals.
The nurse overhears an assistive personnel (AP) telling the client, "If you don't eat, I'll put restraints on your wrists and feed you." The nurse should intervene and explain to the AP that this statement constitutes which of the following torts?

Assault.

Malpractice.

Battery.

Negligence.

Answer and Explanation

The Correct Answer is A

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Correct Answer is A

Explanation

The correct answer is choiceA. Lift the penis so that it is perpendicular to the client’s body.

Choice A rationale:

Lifting the penis so that it is perpendicular to the client’s body straightens the urethra, making it easier to insert the catheter without causing trauma.

Choice B rationale:

While cleansing the tip of the penis in a circular motion is important for maintaining aseptic technique, it is not the specific action that facilitates the insertion of the catheter.

Choice C rationale:

Picking up the catheter 13 cm (5 in) from its tip is not a standard practice.The nurse should hold the catheter closer to the tip to maintain control and ensure accurate insertion.

Choice D rationale:

Inflating the catheter balloon before insertion can cause trauma to the urethra and is not recommended.The balloon should only be inflated once the catheter is correctly positioned in the bladder.

A. Sticks his tongue out. B. Frowns symmetrically. C. Identifies a sour taste. D. Shrugs his shoulders.

Correct Answer is D

Explanation

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Naxlex Comprehensive Predictor Exams

A nurse is inserting an indwelling urinary catheter for a male client. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is performing a neurological examination on a client as part of a complete physical assessment.The nurse should identify that cranial nerve XI is intact when the client performs which of the following actions?

Correct Answer is D

Explanation

A nurse is caring for a child who has cystic fibrosis and requires postural drainage. Which of the following actions should the nurse take?

A nurse manager is updating protocols for the use of belt restraints. Which of the following guidelines should the nurse manager include?

A nurse is planning care for a group of clients and is working with one licensed practical nurse (LPN) and one assistive personnel (AP). Which of the following actions should the nurse take first to manage her time effectively?

A nurse is preparing to admit a 6-year-old with varicella to the pediatric unit. Which of the following actions should the nurse take?

A nurse is caring for a client whose child died from cancer. The client states, "It's hard to go on without him." Which of the following questions should the nurse ask the client first?

A charge nurse is teaching a newly licensed nurse about medication administration. Which of the following information should the charge nurse include?

A nurse is reviewing the medical record of a client who has schizophrenia and is taking clozapine.Which of the following findings should the nurse identify as a contraindication to the administration of clozapine?

A nurse is caring for a client who is receiving radiation therapy and is experiencing anorexia. Which of the following actions should the nurse take?