The practical nurse (PN) is documenting the insertion of a urinary catheter for a female client with urinary retention. What information should the PN include during the electronic documentation of the procedure? Select all that apply.
Client positioning during procedure.
Amount of lubricant used.
Size of urinary catheter.
Appearance of urine obtained.
Amount of urine obtained.
Correct Answer : A,C,D
A. Client positioning during the procedure should be documented to ensure that the procedure was performed correctly and that the client was appropriately positioned for catheter insertion.
B. The amount of lubricant used is not a standard detail for documenting catheter insertion. Documentation focuses on the procedure's outcomes and specific technical details rather than quantities of materials used.
C. The size of the urinary catheter should be documented as it is a critical detail for future reference and to ensure that the catheter was appropriate for the client’s needs.
D. The appearance of the urine obtained should be documented as it provides important information about the client’s urinary status and can indicate potential issues like infection or hematuria.
E. While the amount of urine obtained might be relevant for assessing urinary retention, it is not a standard part of the initial documentation for catheter insertion unless there was a significant volume change or specific concern.
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Related Questions
Correct Answer is B
Explanation
A. Eliminating citrus drinks is not specifically related to preventing dumping syndrome. While citrus drinks might irritate the stomach, the main dietary consideration for dumping syndrome is the timing of fluid intake.
B. Consuming fluids 30 minutes to one hour after meals helps prevent dumping syndrome. Drinking fluids too close to meal times can increase the risk of dumping syndrome by accelerating gastric emptying.
C. Increasing the intake of carbonated fluids after meals is not recommended for preventing dumping syndrome. Carbonated drinks can exacerbate symptoms rather than help prevent them.
D. Avoiding caffeinated beverages can be part of general dietary recommendations, but it is not the primary measure to prevent dumping syndrome. The timing of fluid intake relative to meals is more crucial.
Correct Answer is A
Explanation
A. Intense cravings are a common symptom of cocaine withdrawal. Individuals withdrawing from cocaine often experience strong urges to use the drug again, as their bodies adjust to the absence of the substance.
B. Hyperactivity is more characteristic of cocaine intoxication rather than withdrawal. During withdrawal, individuals are more likely to experience fatigue and lethargy.
C. Being talkative is associated with cocaine use, not withdrawal. Cocaine stimulates the central nervous system, leading to increased talkativeness during intoxication, but withdrawal often involves a reduction in energy and social engagement.
D. Elation is a symptom of cocaine intoxication. During withdrawal, individuals are more likely to feel dysphoric, anxious, or depressed rather than elated.
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