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

Gastroesophageal reflux disease (GERD) is a condition characterized by the backflow of stomach acid into the esophagus, causing symptoms such as heartburn. Orange juice is highly acidic, and consuming acidic foods and beverages can exacerbate the symptoms of GERD. The acidic nature of orange juice can irritate the esophagus and contribute to increased acid reflux, leading to heartburn.

Sleeping on a large wedge-style pillow can actually help alleviate symptoms of GERD by elevating the head and upper body, reducing the likelihood of acid reflux during sleep.

Eating dinner early in the evening is generally recommended for individuals with GERD as it allows sufficient time for digestion before lying down. This can help prevent acid reflux during sleep.

Consuming low-fat meats is also a favorable choice for individuals with GERD as fatty foods can relax the lower esophageal sphincter, allowing stomach acid to flow back into the esophagus. However, the options provided do not include any fatty foods, so it is not the primary contributing factor to the client's heartburn in this case.

A. "My feet are no longer sore and itchy." B. "I can move my joints more easily." C. "My bowel movements have increased in frequency and are much softer." D. "I don't have pain in my stomach anymore."

Correct Answer is D

Explanation

Esomeprazole is a proton pump inhibitor (PPI) medication commonly used to reduce stomach acid production. It is prescribed for conditions such as gastroesophageal reflux disease (GERD) and stomach ulcers. One of the primary goals of esomeprazole is to alleviate stomach pain and discomfort associated with excessive stomach acid.

The other statements mentioned are not directly related to the effectiveness of esomeprazole: "My feet are no longer sore and itchy": Sore and itchy feet are not typical symptoms relieved by esomeprazole. This statement does not indicate the medication's effectiveness.

"I can move my joints more easily": Improved joint mobility is not a direct effect of esomeprazole. This statement does not relate to the medication's purpose.

"My bowel movements have increased in frequency and are much softer": Esomeprazole primarily affects stomach acid production and is not directly related to bowel movements. This statement is not indicative of the medication's effectiveness.

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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 collecting data from a client who has gastroesophageal reflux disease (GERD) and reports having heartburn every night. Which of the following actions should the nurse identify as a contributing factor to the client's heartburn?

Correct Answer is C

Explanation

A nurse is collecting data from a client who has been taking esomeprazole for several months. Which of the following client statements should the nurse identify as indicating effectiveness of the medication?

Correct Answer is D

Explanation

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