A nurse is preparing to insert an indwelling urinary catheter for a client.
Which of the following actions should the nurse take first?
Attach a prefilled syringe to the catheter inflation hub.
Position the sterile drape leaving the perineum exposed.
Cleanse the client's meatus with antiseptic solution.
Lubricate the catheter with water-soluble gel.
The Correct Answer is C
Choice A rationale:
Attaching a prefilled syringe to the catheter inflation hub is a step performed after the catheter insertion to inflate the balloon, securing the catheter in the bladder. This action is not the first step and should not be done before cleansing the meatus and positioning the sterile drape.
Choice B rationale:
Positioning the sterile drape leaving the perineum exposed is a necessary step in maintaining the sterility of the procedure area. However, it is not the first action the nurse should take. Cleaning the client's meatus with an antiseptic solution is the initial step to prevent infection during catheter insertion.
Choice C rationale:
Cleaning the client's meatus with antiseptic solution is the first step in inserting an indwelling urinary catheter. This action helps to reduce the risk of urinary tract infection by minimizing the introduction of bacteria into the urethra.
Choice D rationale:
Lubricating the catheter with water-soluble gel is a step performed after cleansing the meatus and positioning the sterile drape. It facilitates the smooth insertion of the catheter into the urethra. However, it is not the first action to be taken.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
- A. Calories is incorrect. Clients with Crohn's disease and enteroenteric fistula need adequate calories to prevent malnutrition and weight loss due to inflammation, malabsorption, and increased metabolic rate.
- B. Protein is incorrect. Clients with Crohn's disease and enteroenteric fistula need adequate protein to promote tissue healing and prevent protein-losing enteropathy.
- C. Potassium is incorrect. Clients with Crohn's disease and enteroenteric fistula are at risk of hypokalemia due to diarrhea, vomiting, and fistula drainage. They need to increase their potassium intake to prevent electrolyte imbalance and cardiac complications.
- D. Fiber is correct. Clients with Crohn's disease and enteroenteric fistula should decrease their fiber intake to reduce intestinal motility, bulk, and gas production, which can worsen the inflammation and fistula formation.
Correct Answer is A
Explanation
A: The Agency for Healthcare Research and Quality is a federal agency that conducts research on health care quality, access, and outcomes. It provides specific data on migrant farmworkers.
B: The National Institutes of Health is a federal agency that supports biomedical and behavioral research. It does not provide specific data on migrant farmworkers.
C: The Department of Agriculture is a federal agency that oversees agricultural production, food safety, nutrition, and rural development. It does not collects comprehensivedata on migrant and seasonal farmworkers, such as their demographics, health status, and access to health care.
D: The World Health Organization is an international organization that works to improve global health and coordinate responses to health emergencies. It does not provide specific data on migrant farmworkers in the United States.
Answer is:Department of Agriculture. The Department of Agriculture is a federal agency that oversees agricultural production, food safety, nutrition, and rural development.It also collects and publishes data on migrant and seasonal farmworkers, such as their demographics, health status, and access to health care1.
Statement is wrong because: Agency for Healthcare Research and Quality (AHRQ) is an independent agency within the U.S.Department of Health and Human Services that conducts research to improve the quality, safety, efficiency, and effectiveness of health care2.National Institutes of Health (NIH) is a federal agency that supports biomedical research and public health initiatives3. World Health Organization (WHO) is a specialized agency of the United Nations that is concerned with international public health.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.