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 will have a leg bag to collect the urine."
"You will feel pressure when I inflate the catheter balloon."
"You cannot drink fluids for 4 hours after the procedure."
"You will need to urinate before the procedure."
The Correct Answer is D
Choice A Reason:
Choice B Reason:
Inflating a catheter balloon is typically not part of intermittent catheterization, as it is more commonly associated with indwelling catheters.
Choice C Reason:
There is no need for the client to restrict fluid intake before or after intermittent catheterization. In fact, adequate hydration is generally encouraged.
Choice D Reason:
Intermittent catheterization involves inserting a catheter into the bladder to empty it completely, typically to measure residual urine. Before performing intermittent catheterization, it's essential for the client to try to urinate naturally to ensure that the bladder is as empty as possible. This step helps to provide accurate measurements of residual urine and reduces the risk of complications. Therefore, the nurse should include this information in the teaching to ensure the client understands the procedure's proper preparation. While the use of a leg bag to collect urine may be part of the overall management plan, it is not specific to the teaching about preparing for intermittent catheterization.Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A Reason:
"This medication prevents your baby from developing bleeding problems." This is the correct statement. Phytonadione is given to newborns to prevent neonatal vitamin K deficiency bleeding (VKDB), which can lead to serious bleeding problems, including intracranial hemorrhage.
Choice B Reason:
"This medication enhances regulation of your baby's temperature." Phytonadione does not have any direct impact on the regulation of a baby's temperature. Its primary purpose is to prevent bleeding issues.
Choice C Reason:
"This medication enhances your baby's immune response. Phytonadione does not enhance a baby's immune response. It primarily addresses vitamin K deficiency and associated bleeding risks.
Choice D Reason:
"This medication prevents your baby from developing jaundice." Phytonadione is not used to prevent jaundice. Jaundice is typically related to bilirubin levels and is managed separately from vitamin K supplementation.
Correct Answer is B
Explanation
Choice A Reason:
Shrimp salad: Shrimp is a type of shellfish, and shellfish are not allowed in a kosher diet.
Choice B Reason:
Roasted salmon. When caring for a client who follows a kosher diet, it's important to provide food that adheres to kosher dietary laws. Kosher dietary laws prohibit the consumption of certain types of seafood (like shrimp and clams) and pork products (like pulled-pork). Therefore, shrimp salad, clam chowder, and pulled-pork sandwich are not suitable for a kosher diet. Roasted salmon, on the other hand, is an acceptable choice for a kosher diet as long as it has been prepared following kosher guidelines. Fish with fins and scales, such as salmon, are generally considered kosher.
Choice C Reason:
Pulled-pork sandwich: Pork is strictly prohibited in a kosher diet, and any pork-based products, including pulled-pork, are not allowed.
Choice D Reason:
Clam chowder: Clams are considered shellfish, and like other shellfish, they are not permitted in a kosher diet.
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