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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Ground beef is often included in a soft diet as it can be cooked to a tender consistency that is easy
to chew and swallow.
Choice B reason: Raw vegetables are generally not included in a soft diet because they can be difficult to chew and may pose a risk for individuals with certain digestive or dental issues.
Choice C reason: Fruit with the skin is typically not recommended for a soft diet as the skin can be tough and fibrous,
making it harder to chew and digest.
Choice D reason: High-fiber cereals are usually avoided in a soft diet because they may contain whole grains or nuts
that are hard and could be challenging to chew.
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.
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