During a urinary bladder catheter insertion with a size 16 french catheter on an older
adult male client, the nurse feels increased resistance. Which action by the nurse is
best?
Give this one a try later!
STOP THE INSERTION AND INSTRUCT THE CLIENT TO TAKE DEEP
BREATHS
*** for the safety of the client, the nurse should never force a catheter if
there is increased resistance. Instructing the client to take deep breaths will
help to relax the urethral muscles and facilitate passage of the catheter.
-catheter should not be withdrawn and reinstered, as this increases the rf
infection
the nurse provides care for a client who is prescribed assist control mechanical
ventilation with PEEP of 5 cm H20. Which action will the nurse include in the client's
plan of care? SATA
, Give this one a try later!
-strict handwashing before suctioning
- administer pantoprazole 40 mg intravenous daily
- change client position every 2 hrs
*** pantoprazole a proton pump inhibitor(PPI) wil decrease the risk of
aspiration of gastric contents.
The nurse provides care for an adolescent client reporting arm pain after a fall. The
nurse notes bruising in multiple stage of healing. The nurse accesses the client's
medical record and notes the client was trated twice last month for reported back
pain after two seperate falls. The client was treated two months ago for a perforated
eardrum. Which action by the nurse is priority?
Give this one a try later!
CONTACT SOCIAL SERVICES
***the adolescents hx suggest that there might be abuse. the law mandates
that the nurse report know or suspected child abuse by collaborating with
social services and law enforcement.
pneumonia
Give this one a try later!
adult male client, the nurse feels increased resistance. Which action by the nurse is
best?
Give this one a try later!
STOP THE INSERTION AND INSTRUCT THE CLIENT TO TAKE DEEP
BREATHS
*** for the safety of the client, the nurse should never force a catheter if
there is increased resistance. Instructing the client to take deep breaths will
help to relax the urethral muscles and facilitate passage of the catheter.
-catheter should not be withdrawn and reinstered, as this increases the rf
infection
the nurse provides care for a client who is prescribed assist control mechanical
ventilation with PEEP of 5 cm H20. Which action will the nurse include in the client's
plan of care? SATA
, Give this one a try later!
-strict handwashing before suctioning
- administer pantoprazole 40 mg intravenous daily
- change client position every 2 hrs
*** pantoprazole a proton pump inhibitor(PPI) wil decrease the risk of
aspiration of gastric contents.
The nurse provides care for an adolescent client reporting arm pain after a fall. The
nurse notes bruising in multiple stage of healing. The nurse accesses the client's
medical record and notes the client was trated twice last month for reported back
pain after two seperate falls. The client was treated two months ago for a perforated
eardrum. Which action by the nurse is priority?
Give this one a try later!
CONTACT SOCIAL SERVICES
***the adolescents hx suggest that there might be abuse. the law mandates
that the nurse report know or suspected child abuse by collaborating with
social services and law enforcement.
pneumonia
Give this one a try later!
