The nurse reviews a prescription to insert an indwelling urinary catheter in a hospitalized client. Which rationale for indwelling urinary catheter insertion is most appropriate?
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Sterile packaged items can be opened without contamination o…
Sterile packaged items can be opened without contamination of the contents even when you are not wearing sterile gloves.
You are assisting the physician with the insertion of a urin…
You are assisting the physician with the insertion of a urinary catheter. The physician has donned sterile gloves and asks you to open the sterile catheter kit. The nurse would be correct if she opened the first flap of the kit by:
A nurse is working in a support group for clients with acqui…
A nurse is working in a support group for clients with acquired immunodeficiency syndrome (AIDS). What is the most important self-management information the nurse would offer the clients?
A patient is responsive but confused and frequently pulls on…
A patient is responsive but confused and frequently pulls on their urinary catheter. The nurse observes obvious hematuria in the drainage bag and notes the presence of several blood clots in the tubing. How should the nurse document this situation?
The nurse is caring for a client with inflammatory bowel dis…
The nurse is caring for a client with inflammatory bowel disease. Which action is appropriate for the nurse to delegate to the unlicensed assistive personnel (UAP)?
Which findings indicate that a client has developed water in…
Which findings indicate that a client has developed water intoxication secondary to treatment for diabetes insipidus?
A nurse manager is explaining the use of incident reports to…
A nurse manager is explaining the use of incident reports to a group of nurses in orientation. Which of the following information should the nurse manager include?
A nursing student is assigned to care for a client with HIV….
A nursing student is assigned to care for a client with HIV. The student asks the staff nurse what precautions are necessary when measuring this client’s blood pressure. What is the best information to give the student?
A nurse is caring for a client diagnosed with bacterial meni…
A nurse is caring for a client diagnosed with bacterial meningitis. Which of the following assessments is the priority?