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. Supporting the client in her personal decision respects her autonomy and right to make decisions about her own healthcare.
B. Referring the client to a counselor can be appropriate, but the primary response should be to support the client's decision.
C. Encouraging the client not to give up may not be appropriate if the client has made a well- considered decision to refuse further treatment.
D. Suggesting that the client talk with a breast cancer survivor may provide emotional support but should not be used as a means to persuade the client to undergo further treatment if she has made an informed decision to refuse.

A. "I will get up and walk with the physical therapy aide." B. "I will do leg exercises every hour while I am awake." C. "I will take off my antiembolic stockings before I go to bed." D. "I will use a footstool while I sit in a chair."

Correct Answer is C

Explanation

A. Getting up and walking with the physical therapy aide promotes early mobility and is a positive statement.
B. Doing leg exercises every hour while awake helps prevent complications such as deep vein thrombosis (DVT).
C. Leaving antiembolic stockings on during sleep helps prevent DVT, so the client's statement is incorrect.
D. Using a footstool while sitting in a chair promotes proper positioning and comfort.

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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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