A nurse is preparing to insert an indwelling urinary catheter for a client. Which of the following actions should the nurse plan take?
Use one cotton swab to clean the client's urinary meatus.
Don sterile gloves before inserting the indwelling urinary catheter.
Test the balloon on the indwelling urinary catheter before insertion.
Apply an oil-based lubricant to the indwelling urinary catheter.
The Correct Answer is B
A. Use one cotton swab to clean the client's urinary meatus: Multiple cotton swabs should be used to clean in a systematic manner to maintain asepsis.
B. Don sterile gloves before inserting the indwelling urinary catheter. Sterile technique is essential to prevent urinary tract infections (UTIs) during catheter insertion.
C. Test the balloon on the indwelling urinary catheter before insertion: Pretesting the balloon is unnecessary and may compromise sterility or damage the balloon.
D. Apply an oil-based lubricant to the indwelling urinary catheter: Only water-based lubricants should be used to prevent catheter damage or client harm.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Plan to administer insulin to the client: Insulin is used for managing hyperglycemia or diabetic ketoacidosis, not respiratory alkalosis.
B. Have the client breathe into a paper bag: Breathing into a paper bag helps retain CO₂, which can counteract the effects of hyperventilation that lead to respiratory alkalosis.
C. Plan to administer sodium bicarbonate to the client: Sodium bicarbonate is used for metabolic acidosis, not respiratory alkalosis.
D. Have the client place their head between their knees: While this may reduce dizziness, it does not address the underlying issue of CO₂ loss in respiratory alkalosis.
Correct Answer is B
Explanation
A. Numbness of fingers: This is a symptom of respiratory alkalosis, not acidosis, due to hyperventilation-induced hypocalcemia.
B. Lethargy: Lethargy is a common finding in respiratory acidosis due to decreased oxygenation of the brain and buildup of CO2.
C. Abdominal pain: Abdominal pain is not directly associated with respiratory acidosis.
D. Dry skin: Dry skin is not a typical manifestation of respiratory acidosis.
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