A nurse is watching a nursing assistive personnel (AP) perform a postvoid bladder scan on a female with a previous hysterectomy. Which action will require the nurse to follow up?

Wipes scanner head with alcohol pad.

Palpate the patient's symphysis pubis.

Sets the scanner to female.

Applies a generous amount of gel

Answer and Explanation

The Correct Answer is C

A. Wipes scanner head with alcohol pad: Correct technique to prevent infection.

B. Palpates the patient's symphysis pubis: Helps position the scanner correctly over the bladder.

C. Sets the scanner to female: After a hysterectomy, the client should be set to "male" mode because the removal of the uterus alters pelvic anatomy, affecting scan accuracy.

D. Applies a generous amount of gel: Ensures proper ultrasound transmission and a clear image.

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Correct Answer is B

Explanation

A. "Don't worry, most clients dislike the prep more than the procedure itself." This dismisses the client's concerns rather than addressing them directly.

B. "Before the examination, your provider will give you a sedative that will make you sleepy." This response reassures the client by providing factual information about sedation during the procedure.

C. "After you have signed the consent form, we can talk more about this." This does not directly address the client’s anxiety.

D. "I know you're anxious, but this procedure is recommended for people your age." While screening is important, this response does not alleviate the client’s concerns.

A. Report a positive finding to the provider. B. Don sterile disposable gloves. C. Test the quality control section before testing the stool specimen. D. Apply liberal amounts of stool to the guaiac paper.

Correct Answer is A

Explanation

A. Report a positive finding to the provider. A positive guaiac test indicates the presence of blood in the stool, which may suggest gastrointestinal bleeding, colorectal cancer, or other GI disorders. It must be reported for further evaluation.

B. Don sterile disposable gloves. Sterile gloves are not required. Clean gloves are sufficient because this is a non-sterile procedure.

C. Test the quality control section before testing the stool specimen. There is no quality control section on a fecal occult blood test. The test involves applying stool to a guaiac card and adding developer.

D. Apply liberal amounts of stool to the guaiac paper. Only a thin smear of stool is required; too much stool may interfere with accurate test results.

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A nurse is watching a nursing assistive personnel (AP) perform a postvoid bladder scan on a female with a previous hysterectomy. Which action will require the nurse to follow up?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing instructions for a 52-year-old client who is scheduled for a colonoscopy. The client reports that he has not had the procedure before and is very anxious about feeling pain during the procedure. Which of the following responses by the nurse is appropriate?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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