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 C

Explanation

A. Increase dietary intake of fats. While fats can help lubricate the intestines, increasing fat intake is not a primary recommendation for managing constipation. Focusing on fiber and fluid intake is more effective.
B. Reduce intake of fluids. Reducing fluid intake can worsen constipation. Adequate hydration is essential to soften stool and promote regular bowel movements.
C. Increase fiber gradually each day. Increasing fiber intake gradually helps prevent constipation. Fiber adds bulk to the stool and helps it move more easily through the digestive tract. A gradual increase prevents gas and bloating that can occur with a sudden high intake of fiber.
D. Reduce dietary intake of probiotics. Probiotics can actually aid in maintaining a healthy digestive system and can help with bowel regularity. Reducing them is not recommended for managing constipation.

A. Place the client in a lying position. B. Thread the ties through the belt. C. Apply the belt at the client's waist over his clothing. D. Assist the client to a sitting position. E. Attach restraint straps to the bedframe.

Correct Answer is A,D,C,B,E

Explanation

Place the client in a lying position. This step ensures that the client is in a stable and safe position before applying the restraint.
Assist the client to a sitting position. Once the client is stable, assisting them to a sitting position ensures that they are comfortably positioned for restraint application.
Apply the belt at the client's waist over his clothing. Applying the belt over the clothing at the waist secures the client and prevents movement.
Thread the ties through the belt. Threading the ties through the belt ensures that the restraint is properly secured.
Attach restraint straps to the bedframe. Finally, attaching the restraint straps to the bedframe ensures that the restraint is firmly secured and the client cannot easily remove it.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who reports constipation. Which of the following instructions should the nurse include in the teaching?

Correct Answer is C

Explanation

A nurse is preparing to place a belt restraint on a client. In what order should the nurse take the following actions? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Correct Answer is A,D,C,B,E

Explanation

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