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

Test the balloon on the indwelling urinary catheter before insertion.

Use one cotton swab to clean the client's urinary meatus.

Don sterile gloves before inserting the indwelling urinary catheter.

Apply an oil-based lubricant to the indwelling urinary catheter.

Answer and Explanation

The Correct Answer is C

Choice A reason: Testing the balloon is important, but it is not the action to take immediately before insertion.

Choice B reason: While cleaning the urinary meatus is necessary, using one cotton swab is not sufficient for proper aseptic technique.

Choice C reason: Donning sterile gloves is essential to maintain an aseptic technique during catheter insertion to prevent infection.

Choice D reason: An oil-based lubricant should not be used as it can increase the risk of infection and is not compatible with the catheter material; a water-soluble lubricant is recommended.

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Correct Answer is D

Explanation

Choice A reason: Magnesium-containing antacids typically cause diarrhea rather than constipation due to magnesium's ability to draw water into the intestines.

Choice B reason: Antibiotics can affect gut flora and potentially cause diarrhea. While some antibiotics may lead to constipation, it is not as common as diarrhea.

Choice C reason: Anticholinergics/antispasmodics can cause constipation because they inhibit the muscle movements in the gastrointestinal tract necessary for bowel movements.

Choice D reason: Opioid narcotics are well-known to cause constipation as they reduce gastrointestinal motility, leading to slower transit times and increased water absorption from the stool.

A. Loop the tubing of the chest tube on the client's bed. B. Tape the connections on the client's chest tube. C. Place the chest tube drainage system above the level D. Strip the client's chest tube every 2 hours.

Correct Answer is B

Explanation

Choice A reason: Looping the tubing on the client's bed can cause kinks and obstruct the drainage, which is not
recommended.

Choice B reason: Taping the connections on the chest tube is essential to maintain an airtight system and prevent air leaks, which is crucial for proper chest tube function.

Choice C reason: The chest tube drainage system should be placed below the level of the client's heart to facilitate gravity drainage, not above.

Choice D reason: Stripping the chest tube, which involves squeezing and pulling the tubing to clear clots, is not routinely recommended as it can generate negative pressure and damage tissue.

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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 to take?

Nursing Test Bank

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