A nurse is preparing a sterile field for the insertion of a urinary catheter. Identify the sequence of actions the nurse should follow. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)

Perform hand hygiene.

Place the sterile package on the work surface.

Open the outermost flap of the package away from the body.

Open the side flaps of the package.

Open the innermost flap of the package toward the body.

Use the inner surface of the package as a sterile field.

Answer and Explanation

The Correct Answer is A,B,C,D,E,F

To prepare a sterile field for the insertion of a urinary catheter, the nurse should follow the sequence of actions in the following order:

1. Perform hand hygiene.

2. Place the sterile package on the work surface.

3. Open the outermost flap of the package away from the body.

4. Open the side flaps of the package.

5. Open the innermost flap of the package toward the body.

6. Use the inner surface of the package as a sterile field.

Following this sequence ensures that the nurse maintains proper hand hygiene, prepares the sterile package, and opens it in a way that maintains sterility. Opening the flaps in the correct order helps create a sterile field within the package, which can be used for the insertion of the urinary catheter.

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Correct Answer is C

Explanation

Hydrochlorothiazide is a thiazide diuretic commonly used to treat hypertension and edema. One of the potential side effects of hydrochlorothiazide is hypokalemia (low potassium levels). To help counteract this effect, it is important for the client to increase their daily intake of foods high in potassium, such as bananas, oranges, spinach, avocados, and potatoes. This helps maintain adequate potassium levels in the body.

The other options mentioned are incorrect:

Take the medication on an empty stomach: Hydrochlorothiazide can be taken with or without food. It does not need to be taken on an empty stomach.

Muscle weakness is an expected adverse effect: Muscle weakness is not a common or expected adverse effect of hydrochlorothiazide. If the client experiences muscle weakness, they should notify their healthcare provider.

Take the medication at bedtime: Hydrochlorothiazide can be taken at any time of the day. There is no specific requirement to take it at bedtime. The dosing schedule should be determined based on the individual's needs and healthcare provider's instructions.

A. "I should elevate the head of the bed." B. "I will sleep on my stomach with my head flat." C. "I will have a snack 1 hour before going to bed." D. "I can have 6 ounces of alcohol before bed, to help me sleep."

Correct Answer is A

Explanation

Elevating the head of the bed can help reduce the symptoms of GERD during sleep. By elevating the head, gravity can help prevent stomach acid from flowing back into the esophagus, reducing the occurrence of reflux.

The other statements do not demonstrate an understanding of the teaching: "I will sleep on my stomach with my head flat": Sleeping on the stomach can actually worsen the symptoms of GERD as it can increase the likelihood of stomach acid flowing back into the esophagus. It is generally recommended to sleep on the left side or back to minimize reflux.

"I will have a snack 1 hour before going to bed": Consuming a snack close to bedtime can increase the likelihood of reflux during sleep. It is generally recommended to avoid eating at least 2 to 3 hours before lying down to minimize reflux symptoms.

"I can have 6 ounces of alcohol before bed, to help me sleep": Alcohol can relax the lower esophageal sphincter (LES) and increase the risk of reflux. It is best to avoid alcohol before bedtime, especially for individuals with GERD.

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A nurse is preparing a sterile field for the insertion of a urinary catheter. Identify the sequence of actions the nurse should follow. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who is taking hydrochlorothiazide. Which of the following information should the nurse include in the teaching?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with a client who has gastroesophageal reflux disease (GERD) about minimizing the effects of reflux during sleep. Which of the following client statements indicates an understanding of the teaching?

Correct Answer is A

Explanation

A nurse is reinforcing teaching with a client who has a duodenal ulcer and has a new prescription for sucralfate. Which of the following instructions should the nurse include?

A nurse is caring for a client who has gastroesophageal disease and a prescription for metoclopramide. For which of the following adverse effects should the monitor?

A nurse is reinforcing teaching about cimetidine with a client who has peptic ulcer disease. Which of the following information should the nurse include in the teaching?

A nurse is preparing to administer a bolus enteral feeding to a client who has a gastrostomy tube. Which of the following actions should the nurse take first?

A nurse is reviewing the medication history of a client. The nurse should identify that which of the following medications places the client at risk for hypokalemia?

A nurse is reinforcing teaching with a client who reports taking bisacodyl daily. Which of the following information should the nurse include?

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