A nurse is reinforcing teaching with a client about intermittent catheterization to measure residual urine. Which of the following information should the nurse include in the teaching?

"You cannot drink fluids for 4 hours after the procedure."

"You will need to urinate before the procedure."

"You will feel pressure when I inflate the catheter balloon."

"You will have a leg bag to collect the urine."

Answer and Explanation

The Correct Answer is B

The correct answer is B. "You will need to urinate before the procedure." The rationale for this information is that intermittent catheterization is a method of draining urine from the bladder using a thin, flexible tube called a catheter. It is used to measure residual urine, which is the amount of urine left in the bladder after voiding. Residual urine can indicate problems with bladder function, such as obstruction, infection, or nerve damage .

To measure residual urine, the client should first empty their bladder by urinating normally. Then, the nurse will insert the catheter into the urethra and advance it into the bladder.The nurse will measure the amount of urine that drains out of the catheter and record it as residual urine. The nurse will then remove the catheter and dispose of it .

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Correct Answer is C

Explanation

The correct answer is C. "Close your mouth around the mouthpiece." The rationale for this instruction is that it ensures that the medication reaches the lungs and does not escape through the mouth or nose. Albuterol is a bronchodilator that relaxes muscles in the airways and increases airflow to the lungs. It is used to treat or prevent bronchospasm, or narrowing of the airways, in people with asthma or certain types of chronic obstructive pulmonary disease (COPD). It is also used to prevent exercise-induced bronchospasm. Albuterol is delivered through a metered dose inhaler (MDI), which is a device that releases a measured amount of medication with each puff. To use an albuterol MDI correctly, the client should follow these steps :

Shake the inhaler well before each spray.
Remove the cap and look at the mouthpiece to make sure it is clean.
Breathe out fully.
Put the mouthpiece between your lips and close your mouth around it.
Press down on the inhaler to release the medication as you start to breathe in slowly.
Breathe in slowly and deeply over 3 to 5 seconds.
Hold your breath for 10 seconds to allow the medication to reach your airways.
Breathe out slowly.
If you need another puff, wait 1 minute and repeat steps 4 to 8.

A. Remove personal protective equipment after leaving the client’s room. B. Ensure that the negative air pressure is active for the client's room. C. Restrict the client's visitors D. Wear a gown when assisting the client with personal hygiene.

Correct Answer is D

Explanation

The correct answer is choice d. Wear a gown when assisting the client with personal hygiene. Choice A rationale: Removing personal protective equipment (PPE) after leaving the client’s room is incorrect. PPE should be removed before leaving the room to prevent the spread of MRSA to other areas. Choice B rationale: Ensuring that the negative air pressure is active for the client’s room is incorrect. Negative air pressure rooms are typically used for airborne infections, such as tuberculosis, not for MRSA, which is spread by contact. Choice C rationale: Restricting the client’s visitors is not necessary. Visitors should follow contact precautions, such as wearing gowns and gloves, but they do not need to be restricted. Choice D rationale: Wearing a gown when assisting the client with personal hygiene is correct. This helps prevent the spread of MRSA by protecting the nurse’s clothing and skin from contamination.

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A nurse is reinforcing teaching with a client about intermittent catheterization to measure residual urine. Which of the following information should the nurse include in the teaching?

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Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who is about to start using an albuterol metered- dose inhaler. Which of the following instructions should the nurse include in the teaching?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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