When performing catheter care, which action is not appropriate for the nurse to perform?
1. Applying sterile gloves
2. Washing the meatus and proximal catheter with soap and water
3. Drying the catheter and urinary meatus
4. Performing hand hygiene
Correct Answer: 1
Sterile gloves are not required when performing catheter care. All of the other actions are appropriate for the nurse to perform during this procedure.
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A nurse is assessing an ECG rhythm strip. The P waves and QRS complexes are regular. The PR interval is 0.16 second. The overall heart rate is 60 beats/min. The nurse assesses the cardiac rhythm as:
A) Normal sinus rhythm B) Sinus bradycardia C) Sick sinus syndrome D) Heart Block
The nurse is calculating the rate for a regular rhythm. There are 20 small boxes between each P wave and 20 small boxes between each R wave. What is the ventricular rate?
a. 50 beats/min b. 75 beats/min c. 85 beats/min d. 100 beats/min
A client reports a family history of aortic stenosis. Which assessment finding would the nurse identify as the most likely contributing factor?
A) High blood pressure B) Missing aortic cusp C) Unidirectional blood flow D) Chest pain
A baby is born with a genetic disorder that did not affect either of the parents. What should the nurse realize about this baby's disorder?
1. The mother is the carrier of the disorder. 2. The father is the carrier of the disorder. 3. The father is not the biological father of the baby. 4. Both parents are carriers of the disorder.