The practical nurse (PN) is assisting with preparation of a client for fecal diversion surgery. While inserting an indwelling urinary catheter, the client asks if the surgical opening will be visible. Which action should the PN implement?

Ask the client if he finished the bowel sterilization prescription.

Review the client's expectations of elimination after surgery.

Verify that the client had nothing by mouth (NPO) for the past 24 hours.

Determine if this is the first indwelling catheter the client has had.

Answer and Explanation

The Correct Answer is B

A.   Asking about the bowel sterilization prescription doesn't address the client's concern regarding the visibility of the surgical opening.
B.   Reviewing the client's expectations after surgery could address the client's query about the visibility of the surgical opening and offer information regarding elimination.
C.   Verifying the NPO status is important for surgery preparation but doesn’t directly address the client's specific concern.
D.   Determining if this is the first indwelling catheter doesn’t directly address the client's immediate concern regarding the surgical opening.

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Correct Answer is A

Explanation

A. Keep the hearing aid out of direct sunlight. - This instruction is accurate as exposure to direct sunlight can potentially damage the hearing aid components, such as the battery or delicate electronic parts.
B. Wear the hearing aid while sleeping. - It's generally advised to remove hearing aids before sleeping to allow the ears to rest and prevent potential damage to the device.
C. Clean the hearing aid with baby oil. - Baby oil can damage the hearing aid and should not be used for cleaning. Specific cleaning solutions recommended by the manufacturer should be used.
D. Leave the hearing aid in place while showering. - Water exposure can damage the hearing aid, so it's advisable to remove it before showering or bathing.

A. Call the charge nurse to the room. B. Observe the appearance of the injection site. C. Cleanse the finger with soap and water. D. Explain the occurrence to the client.

Correct Answer is C

Explanation

A. Calling the charge nurse might be necessary, but the immediate action after a needlestick injury is to cleanse the affected area to minimize the risk of infection.
B. Observing the appearance of the injection site is important but not the first action following a needlestick injury.
C. Cleaning the finger with soap and water is the initial action to reduce the risk of infection following a needlestick injury.
D. Explaining the occurrence to the client is important but comes after taking care of the nurse's immediate health following a needlestick injury.

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The practical nurse (PN) is assisting with preparation of a client for fecal diversion surgery. While inserting an indwelling urinary catheter, the client asks if the surgical opening will be visible. Which action should the PN implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An older client is fitted with a hearing aid and instructions are provided for its use. Which instruction is accurate and should be reinforced by the practical nurse (PN)?

Correct Answer is A

Explanation

The practical nurse (PN) administers an injection using a syringe with a retractable needle. After the needle is removed from the client's skin, the needle does not retract, and the PN gets stuck in the finger with the used needle. What action should the PN take first?

Correct Answer is C

Explanation

The practical nurse (PN) assists a client to a supine position. What should the PN use to prevent external rotation of the client's hips?

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