A nurse is preparing to insert an indwelling urinary catheter. Which of the following instructions should the nurse give the client to help ease the passage of the catheter through the urinary meatus?

"Raise your head off the pillow."

"Bear down."

"Hold your breath."

"Perform Kegel exercises."

Answer and Explanation

The Correct Answer is B

A.   Raising the head off the pillow is not relevant to easing the passage of the catheter through the urinary meatus.
B.   Bearing down can help relax the pelvic floor muscles, making it easier to insert the catheter through the urinary meatus.
C.   Holding the breath is not typically instructed during catheter insertion and may not aid in the ease of the procedure.
D.   Performing Kegel exercises involves contracting pelvic floor muscles, which is not the desired action when inserting a urinary catheter.

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Correct Answer is A

Explanation

A. Positioning the client for secretion drainage by gravity is a key component of postural drainage to facilitate the removal of respiratory secretions.
B. Postural drainage is typically done before meals to avoid potential nausea during the procedure.
C. Bronchodilators are often administered before postural drainage to open the airways and improve the effectiveness of the procedure.
D. Encouraging fluid intake is important to help thin respiratory secretions and promote their removal during postural drainage. Fluid restrictions are not typically indicated in this context.

A. Decreased hematocrit B. Decreased specific gravity of urine C. Increased skin turgor D. Increased pulse rate

Correct Answer is D

Explanation

A. Decreased hematocrit may be seen in fluid volume excess, not deficit.

B. Decreased specific gravity of urine is more indicative of dilution rather than fluid volume deficit.
C. Increased skin turgor is a clinical manifestation of fluid volume deficit.

D. Increased pulse rate is a compensatory response to fluid volume deficit, reflecting the body's attempt to maintain perfusion in the setting of reduced blood volume.

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A nurse is preparing to insert an indwelling urinary catheter. Which of the following instructions should the nurse give the client to help ease the passage of the catheter through the urinary meatus?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is performing postural drainage for a client. Which of the following is an appropriate intervention?

Correct Answer is A

Explanation

A nurse is assessing a client who reports nausea and vomiting for 2 days. Which of the following indicates fluid volume deficit?

Correct Answer is D

Explanation

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A nurse is preparing to insert an indwelling urinary catheter. Which of the following instructions should the nurse give the client to help ease the passage of the catheter through the urinary meatus?

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