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 A
Explanation
A. Secure new tracheostomy ties before removing old ones. Securing the new ties before removing the old ones prevents accidental decannulation of the tracheostomy tube.
B. Use aseptic technique. Aseptic technique should be used to reduce the risk of infection during tracheostomy care.
C. Apply suction when inserting the catheter. Suction should only be applied when withdrawing the catheter, not during insertion, to prevent trauma to the trachea and bronchial tissues.
D. Clean the inner cannula with mild soap and water. The inner cannula should be cleaned with sterile saline or a prescribed solution, not with soap, to avoid irritation and infection.
Correct Answer is B
Explanation
A. Social worker: Social workers assist with social, emotional, and financial aspects of care, but they do not manage tracheostomies.
B. Respiratory therapist: This is the correct answer. Respiratory therapists specialize in airway management, including tracheostomy care, and are the appropriate team members for managing this aspect of care.
C. Occupational therapist: Occupational therapists help clients with activities of daily living and adaptive equipment but do not manage tracheostomies.
D. Registered dietitian: Dietitians focus on nutritional care and are not involved in tracheostomy management.
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