A nurse is teaching a newly licensed nurse about the function of the large intestine. Which of the following information should the nurse include?
It produces vitamin D.
It absorbs liquid to form stool.
It prevents the reflux of food into the esophagus.
It secretes enzymes to digest food.
The Correct Answer is B
A. The nurse coats the indwelling urinary catheter with lubricant. This is correct procedure and requires no intervention. Lubricating the catheter reduces friction and discomfort during insertion.
B. The nurse applies the sterile drape prior to inserting the urinary catheter. This is correct procedure and requires no intervention. The sterile drape maintains a sterile field.
C. The nurse separates the client's labia with her dominant hand. The nurse should separate the client's labia with her non-dominant hand, which then remains in place as a "dirty" hand. The dominant hand, which remains sterile, is used to insert the catheter.
D. The nurse provides perineal care prior to inserting the urinary catheter. This is correct procedure and requires no intervention. Perineal care reduces the risk of introducing bacteria into the urinary tract.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "Small electrodes are placed on my scalp." This statement describes an EEG, not the Rinne test. The Rinne test involves a tuning fork, not electrodes. This statement is incorrect.
B. "I will wear earphones during this test." This statement describes an audiometry test, not the Rinne test. The Rinne test uses a tuning fork, not earphones. This statement is incorrect.
C. "A tuning fork is placed on my head." The Rinne test is a hearing test that involves placing a vibrating tuning fork on the mastoid process behind the ear and then comparing the sound conducted through bone to the sound conducted through air.
D. "A small probe is placed inside my ear." This statement describes tympanometry or other tests that involve probes in the ear, not the Rinne test. The Rinne test uses a tuning fork placed on the mastoid bone and near the ear canal. This statement is incorrect.
Correct Answer is B
Explanation
A. Dilute each medication with 10 mL of tap water. Typically sterile or distilled water is preferred for diluting medications to reduce the risk of infection.
B. Flush the NG feeding tube with 30 mL of water immediately following medication administration. Flushing the tube before and after medication administration helps ensure the tube remains patent and the medication is fully delivered.
C. Maintain the head of the bed in a flat position for 30 minutes following medication administration. The head of the bed should be elevated to at least 30-45 degrees to prevent aspiration during and after medication administration.
D. Mix the three medications together prior to administering. Medications should not be mixed together unless compatibility has been confirmed, as mixing can cause interactions or blockages in the tube.
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