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.
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Related Questions
Correct Answer is D
Explanation
A. Choose a wool blanket when using oxygen: Wool blankets can generate static electricity, posing a fire risk. Cotton blankets are safer.
B. Keep oxygen tanks 4 feet away from an electric stove: Oxygen tanks should be kept at least 6 feet away from heat sources to reduce fire hazards.
C. Use petroleum-based ointments to moisturize lips: Petroleum-based products are flammable and should not be used near oxygen. Water-based lubricants are safer.
D. Store oxygen tanks upright: Oxygen tanks must be stored upright and secured to prevent them from tipping over, which could cause accidents or leaks.
Correct Answer is A
Explanation
A. Muscle weakness: Hypokalemia affects muscle function and can cause muscle weakness, cramps, or even paralysis due to decreased potassium levels disrupting normal muscle contractions.
B. Hypertension: Hypokalemia is more likely to cause hypotension, as potassium influences vascular tone.
C. Cerebral edema: This is not associated with hypokalemia; it is more related to increased intracranial pressure.
D. Hyperactive bowel sounds: Hypokalemia typically causes reduced gastrointestinal motility, leading to hypoactive bowel sounds or paralytic ileus.
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