A nurse is using a bladder scanner to assess the bladder volume of a client with urinary frequency. In which position would the nurse place the client?
Sims’ position
Dorsal recumbent position
Supine position
High Fowler’s position
The Correct Answer is B
Choice A rationale:
Sims' position is a side-lying position with the lower leg flexed and the upper leg extended. It is not ideal for bladder scanning because it can compress the bladder and make it difficult to obtain an accurate reading.
Additionally, in Sims' position, the bladder may not be fully accessible to the scanner, as it may be partially obscured by the upper thigh.
Choice B rationale:
Dorsal recumbent position is the optimal position for bladder scanning. In this position, the client lies flat on their back with their knees bent and their feet flat on the bed. This position allows for:
Full exposure of the bladder, making it easily accessible to the scanner.
Relaxation of the abdominal muscles, which can help to ensure an accurate reading.
A comfortable position for the client, promoting cooperation and reducing the likelihood of movement that could interfere with the scan.
Choice C rationale:
Supine position is a similar position to dorsal recumbent, but with the legs fully extended. While it is possible to perform a bladder scan in this position, it is not as ideal as dorsal recumbent because:
The extended legs can place some tension on the abdominal muscles, potentially affecting bladder position and the scan's accuracy.
The client may find this position less comfortable, leading to restlessness and potential movement that could interfere with the scan.
Choice D rationale:
High Fowler's position is a semi-sitting position with the head of the bed elevated at a 45- to 60-degree angle. This position is not suitable for bladder scanning because:
Gravity can pull the bladder downwards, making it difficult to visualize and measure accurately.
It can be challenging to maintain proper positioning of the scanner on the abdomen in this position, potentially leading to inaccurate readings.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
While adequate supervision is essential for safe delegation, it's not the primary question the nurse should ask. The nurse must first determine if delegation is legally and organizationally permissible.
If the nurse practice act or facility policy prohibits delegation of medication administration to UAPs, no amount of supervision can override those regulations.
Ensuring compliance with legal and professional standards is paramount to protect patient safety and the nurse's license.
Choice B rationale:
The client's response and approval are important considerations, but they don't supersede legal and organizational guidelines. If delegation isn't permitted, the client's preferences cannot justify a violation of these standards. Obtaining client consent is a crucial aspect of ethical care, but it must align with established regulations.
Choice C rationale:
UAP training is crucial for safe delegation, but it's again not the primary question.
If delegation itself isn't allowed, the UAP's level of training becomes irrelevant.
It's essential to verify the UAP's competency only after confirming the legality and organizational acceptability of delegation.
Choice D rationale:
This is the primary question because it addresses the fundamental legality and appropriateness of delegation within the specific context of the nurse's practice and workplace.
Nurse practice acts outline the scope of nursing practice and define which tasks can be delegated to unlicensed personnel.
Healthcare facility policies further delineate delegation guidelines within the institution, ensuring consistency and adherence to best practices.
By consulting these regulations first, the nurse can make an informed decision that aligns with professional standards and protects patient safety.
Correct Answer is D
Explanation
Choice A rationale:
The female urethra is not significantly longer than the male urethra. In fact, it is considerably shorter. The average length of the female urethra is about 4 cm (1.5 inches), while the average length of the male urethra is about 20 cm (8 inches). This difference in length has important implications for catheterization, as it means that the female urethra is more easily accessible and less likely to be damaged during the procedure.
Choice B rationale:
The female urethra does have a distinct anatomy and nerve innervation compared to the male urethra. However, these differences are not as relevant to the process of catheterization as the difference in length. The key anatomical difference to consider is the location of the urethral opening. In females, the urethral opening is located just above the vaginal opening, while in males, it is located at the tip of the penis. This difference in location means that different techniques are required for catheterizing males and females.
Choice C rationale:
The female urethra is connected to the bladder. This is a fundamental anatomical fact that is essential for understanding the process of urination. The urethra is the tube that carries urine from the bladder to the outside of the body. In females, the urethra is also involved in sexual intercourse and childbirth.
Choice D rationale:
This is the correct answer. The female urethra is considerably shorter than the male urethra. This difference in length is important to consider when catheterizing a female patient, as it means that the urethra is more easily accessible and less likely to be damaged during the procedure.
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