A nurse is evaluating a nursing assistive personnel’s (AP) care for a patient with an indwelling catheter. Which action by the AP will cause the nurse to intervene?
Emptying the drainage bag when half full.
Placing the drainage bag on the side rail of the patient’s bed.
Kinking the catheter tubing to obtain a urine specimen.
Securing the catheter tubing to the patient’s thigh.
The Correct Answer is B
Choice A rationale
Emptying the drainage bag when half full is a correct action by the AP4. It is important to empty the drainage bag regularly to prevent infection and maintain accurate intake and output records.
Choice B rationale
Placing the drainage bag on the side rail of the patient’s bed is an incorrect action by the AP4. The drainage bag should be placed below the level of the bladder to prevent backflow of urine, which can lead to infection.
Choice C rationale
Kinking the catheter tubing to obtain a urine specimen is an incorrect action by the AP4. This can cause discomfort to the patient and potentially damage the catheter.
Choice D rationale
Securing the catheter tubing to the patient’s thigh is a correct action by the AP4. This helps to prevent pulling on the catheter, which can cause discomfort and potential damage to the urethra.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Detecting the scent of a rose is primarily associated with the olfactory system, not the tactile system.
Choice B rationale
Observing the color of a flower is primarily associated with the visual system, not the tactile system.
Choice C rationale
Feeling the texture of a fabric is primarily associated with the tactile system. The tactile system, part of the somatosensory system, allows us to perceive touch, pressure, temperature, pain, and vibration.
Choice D rationale
Hearing the sound of a bell is primarily associated with the auditory system, not the tactile system.
Correct Answer is B
Explanation
Choice A rationale
Visual aids can be very helpful for patients with impaired speech. They can use pictures, written words, or devices to help express their thoughts2324.
Choice B rationale
Allowing extra time to communicate with the patient is crucial. It can reduce frustration and improve the effectiveness of communication2324.
Choice C rationale
Completing sentences for the patient can be disrespectful and may not accurately convey the patient’s thoughts2324.
Choice D rationale
Asking open-ended questions can be challenging for a person with impaired speech. It’s better to ask yes/no questions or use other communication strategies2324.
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