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

Cleanse the urethral meatus.

Apply sterile gloves.

Attach the pre-filled syringe to the inflation bulb.

Saturate the cotton balls with antiseptic.

Answer and Explanation

The Correct Answer is B

A. Cleanse the urethral meatus. This step occurs after preparing the sterile field and donning sterile gloves.
B. Apply sterile gloves. This is correct. The first step in the standardized procedure is to apply sterile gloves to maintain aseptic technique throughout the catheter insertion process.
C. Attach the pre-filled syringe to the inflation bulb. This step is part of the preparation but comes after the sterile gloves are applied.
D. Saturate the cotton balls with antiseptic. This step occurs after donning sterile gloves.

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Correct Answer is ["A","D"]

Explanation

A. Place the client in contact isolation. Contact isolation helps prevent the spread of C. difficile to other patients and staff by requiring the use of gowns and gloves when entering the patient's room.
B. Prepare the client for a colonoscopy. This is not typically part of the standard care plan for C. difficile infection. Colonoscopies are not indicated for diagnosing or managing C. difficile.
C. Administer docusate sodium 500 mg daily. Docusate sodium is a stool softener and is not appropriate for treating C. difficile, which causes diarrhea.
D. Use a bleach solution to clean the client's bedside table. Bleach is effective at killing C. difficile spores, which are resistant to many other cleaning agents.
E. Use hand sanitizer immediately after caring for the client. Hand sanitizers are not effective against C. difficile spores. Handwashing with soap and water is necessary.

A. "If I continue to breathe in carbon monoxide, I could become unconscious." B. "If there is carbon monoxide in my house. I'll be able to smell it." C. "I have a gas furnace, so I don't have to worry about carbon monoxide." D. "I will change the battery in my carbon dioxide detector every 2 years."

Correct Answer is A

Explanation

A. "If I continue to breathe in carbon monoxide, I could become unconscious." This is correct. Continued exposure to carbon monoxide can lead to unconsciousness and even death.
B. "If there is carbon monoxide in my house. I'll be able to smell it." This is incorrect. Carbon monoxide is a colorless and odorless gas, making it impossible to detect by smell.
C. "I have a gas furnace, so I don't have to worry about carbon monoxide." This is incorrect. Gas furnaces can produce carbon monoxide, especially if they are not properly ventilated or maintained.
D. "I will change the battery in my carbon dioxide detector every 2 years." This is incorrect. The batteries in carbon monoxide detectors should be changed more frequently, typically every 6-12 months, to ensure they function properly.

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

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Naxlex Comprehensive Predictor Exams

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Explanation

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