Question

A nurse is caring for a client who has an indwelling urinary catheter. Which of the following actions should the nurse take to prevent infection?

A. Replace the catheter every 3 days.

B. Check the catheter tubing for kinks or twisting.

C. Irrigate the catheter once each shift.

D. Clean the perineal area with an antiseptic solution daily

A nurse is caring for a client who has end-stage renal disease (ESRD). Which of the following are expected findings? (Select all that apply).

A. Slurred speech

B. Bone pain

C. Bradypnea.

D. Pruritus

E. Hypotension

A nurse is caring for a client who has hepatitis A. The client asks the nurse how he might have contracted the virus. Which of the following is a question the nurse should ask the client?

A. "Have you eaten any freshwater fish lately?"

B. "Have you received a blood transfusion recently?"

C. "Have you been to a third world country in the past?"

D. "Do you take any recreational drugs?"

A nurse is caring for a client who has type 1 diabetes mellitus. The nurse misread the client’s morning blood glucose level as 210 mg/dL instead of 120 mg/dL and administered the insulin dose appropriate for a reading over 200 mg/dL before the client’s breakfast. Which of the following actions is the nurse’s priority?

A. Give the client 15 to 20 g of carbohydrate.

B. Monitor the client for hypoglycemia.

C. Complete an incident report.

D. Notify the nurse manager

Answer 1

1.In this case it is advised to to check the catheter tubing for kinks or twisting, to avoid the chances of hindrence in the drainage.Hence option B is correct.

2. Slurred speech, Bone pain and Pruritus are the major expected findings in case of the end-stage renal disease (ESRD). Hence options A,B & D are correct.

3. In this case the nurse should ask the question "Have you eaten any freshwater fish lately?" Because Because freshwater fish eating living in contaminated sewage can leads to hepatitis A. Hence option A is correct.

4. In this case it is required to monitor the client for hypoglycemia and then if required administer ready carbohydrate to manage this.