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.

Answer and Explanation

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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Correct Answer is B

Explanation

A. Fat: A stool fat test, not a guaiac test, identifies fat malabsorption (e.g., steatorrhea).

B. Blood: A stool guaiac test detects occult (hidden) blood in the stool, which can indicate gastrointestinal bleeding.

C. Bacteria: Stool cultures detect bacterial infections.

D. Parasites: Parasite tests involve direct observation or specific assays, not guaiac testing.

A. Add fluid and fiber to the diet. B. Avoid gas-producing foods. C. Request that the provider prescribe a stool softener. D. Promote active range-of-motion activities.

Correct Answer is A

Explanation

A. Add fluid and fiber to the diet: Increasing dietary fiber and fluid promotes stool bulk and softening, aiding in bowel movement regularity.

B. Avoid gas-producing foods: This helps with bloating but does not address constipation.

C. Request that the provider prescribe a stool softener: This is a secondary intervention after nonpharmacological methods, such as diet and hydration, have been attempted.

D. Promote active range-of-motion activities: While physical activity helps prevent constipation, active range-of-motion exercises are less effective compared to fluid and fiber intake.

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A nurse is preparing to insert an indwelling urinary catheter for a client. Which of the following actions should the nurse plan take?

Nursing Test Bank

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