The nurse explains routine catheter care to the nursing assistant as:
a. cleansing the first 2 inches of the catheter with soap and water every shift.
b. disinfecting the entire catheter with alcohol every shift.
c. lubricating the catheter with antiseptic lotion every 24 hours.
d. cleansing the meatal-catheter junction every 24 hours.
A
The first 2 inches of the catheter should be cleaned with soap and water every shift or more often if the patient is incontinent. Alcohol and lotions are contraindicated. Catheter care should be done every shift.
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A nurse manager has been terminated for failing to follow institutional policy and procedures. Upon reviewing the manager's files, the supervisor discovers multiple unfinished employee evaluations from the last two years
The supervisor is faced with which concerns? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Finding someone with enough knowledge of the employee's work to complete the evaluation processes 2. How to share evaluation information with employees 3. The legal steps necessary to invalidate the in-process evaluations and begin new evaluations 4. Whether the care provided on the unit has been safe and effective 5. How long it has been since employees have had a valid evaluation
When a staff member makes a mistake, the nurse manager should:
1. ignore the mistake and give the person another chance. 2. punish the person. 3. call all staff members together to discuss the mistake. 4. accept the mistake and help the person learn from the mistake.
An elderly patient with Alzheimer's disease begins supplemental tube feedings through a gastrostomy tube to provide adequate calorie intake. The nurse should be concerned most with the potential for:
A) Hypoglycemia B) Fluid volume excess C) Aspiration D) Constipation
The nurse is preparing to administer an intravenous insulin drip to a patient admitted with diabetic ketoacidosis. Which of the following laboratory findings would be of most concern to the nurse?
1. sodium level of 130 mEq/L 2. potassium level of 3.2 mEq/L 3. bicarbonate level of 16 mEq/L 4. phosphorus level of 2.8 mEq/L