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 ["A","C","E"]
Explanation
A. Ignoring the urge to defecate: Ignoring the urge allows stool to remain in the colon longer, leading to harder stools and constipation.
B. Increased activity: Increased activity promotes bowel motility and helps prevent constipation.
C. Excessive laxative use: Chronic use can lead to dependence and reduced natural bowel motility, contributing to constipation.
D. Increased fiber in the diet: Increased fiber typically alleviates constipation unless fluid intake is inadequate.
E. Inadequate fluid intake: Insufficient fluids lead to harder stools and decreased bowel motility, causing constipation.
Correct Answer is B
Explanation
A. Obtain a prescription for insulin for the client: Insulin is used for hyperglycemia or diabetic ketoacidosis, not metabolic alkalosis.
B. Place the client on continuous cardiac monitoring: Metabolic alkalosis can cause electrolyte imbalances, particularly hypokalemia, which increases the risk of cardiac arrhythmias. Continuous monitoring allows for early detection and intervention.
C. Plan to administer sodium bicarbonate to the client: Sodium bicarbonate is used for metabolic acidosis, not alkalosis.
D. Have the client breathe into a paper bag: This technique is used for respiratory alkalosis to increase CO₂ levels.
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