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?

Choice A Reason:

Irrigation of a wound with antibiotic solution is incorrect. Typically, irrigation of a wound with antibiotic solution doesn't require informed consent unless there are specific factors or risks involved that require it. This is usually considered a routine wound care procedure.

Choice B Reason:

Administration of an iron injection using Z-track technique is incorrect. Informed consent may not be required for this procedure if it's a routine and commonly performed nursing intervention. However, if there are specific concerns or potential risks (e.g., allergy to the medication), informed consent might be necessary.

Choice C Reason:

Insertion of a nasogastric tube is correct. Insertion of a nasogastric tube generally requires informed consent, especially if it's a non-emergent procedure. Informed consent is essential because there can be risks associated with the insertion, and the client should be informed and agree to it.

Choice D Reason:

Placement of a central venous catheter is correct. Placement of a central venous catheter definitely requires informed consent. It's a more invasive procedure that involves entering a major blood vessel, and there are specific risks and potential complications associated with it.

Choice A Reason:

Attaching a pacifier to the newborn's clothing with a string can be dangerous, as it poses a risk of strangulation. Pacifiers should be used, but they should be the type with a handle designed for infant use.

Choice B Reason:

Placing the newborn face up on a pillow when sleeping is not recommended. The baby should be placed on their back on a firm and flat sleep surface, such as a crib mattress, without pillows, blankets, or other soft bedding items. This helps reduce the risk of sudden infant death syndrome (SIDS).

Choice C Reason:

Placing the newborn's crib near a heat vent during cold weather can lead to overheating, which is a risk factor for SIDS. It's important to maintain a comfortable room temperature for the baby and use appropriate sleep clothing to keep them warm without the need for additional heating devices near the crib.

Choice D Reason:

"I will make sure that I can fit one finger between the mattress and the side of my newborn's crib." This statement indicates an understanding of safe sleep practices for newborns. Ensuring that there is a small gap (about one finger's width) between the mattress and the side of the crib helps prevent the risk of suffocation or entrapment. It allows for proper airflow and reduces the risk of the baby getting stuck between the mattress and the crib.