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 C
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 B
Explanation
A. Ripe bananas: Ripe bananas are typically recommended to help manage diarrhea because they are low in fiber and can help firm up stool.
B. Caffeinated beverages: Caffeinated beverages can act as stimulants, increasing bowel motility and potentially leading to diarrhea.
C. White rice: White rice is generally binding and can help manage diarrhea, not cause it.
D. Low-fiber cereal: Low-fiber cereals are less likely to cause diarrhea as they do not promote bowel motility.
Correct Answer is A
Explanation
A. Face the client when speaking to them. This is the correct action. Facing the client while speaking helps them use any remaining vision they have to interpret facial expressions and lip movements, which can enhance communication.
B. Open shades on windows in the client's room to provide direct lighting. Direct lighting can cause glare, which may worsen vision impairment. It is better to use indirect lighting to avoid glare.
C. Use gestures to communicate with the client. While gestures can be useful for some individuals, they are not as effective for clients with vision impairment who may not be able to see them clearly.
D. Speak loudly when talking to the client. There is no need to speak loudly unless the client also has a hearing impairment. Speaking loudly could be perceived as shouting, which may be uncomfortable for the client.
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