A home care patient has an indwelling catheter connected to a leg bag. What can the nurse recommend to help prevent development of a urinary tract infection?
A) Empty the leg bag at regular intervals.
B) Always wipe from front to back after voiding.
C) Restrict intake of fluids to decrease amount of urine.
D) Take the tubing apart and wash it each day.
A
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Which of the following findings would the nurse interpret as suggesting a diagnosis of gestational trophoblast disease?
A) Elevated hCG levels, enlarged abdomen, quickening B) Vaginal bleeding, absence of FHR, decreased hPL levels C) Visible fetal skeleton with ultrasound, absence of quickening, enlarged abdomen D) Symptoms of gestational hypertension, hyperemesis gravidarum, absence of FHR
The LPN/LVN charge nurse at the long-term care facility has assigned a newly licensed LPN/LVN to care for a resident needing a colostomy irrigation. The new LPN/LVN voices concern, because he has never performed a colostomy irrigation
What would be the best course of action for the LPN/LVN charge nurse? a. State, "A colostomy irrigation is just like giving an enema. You'll be fine." b. Tell the new LPN/LVN, "I'll do the irrigation while you care for your other assigned residents." c. Delegate the procedure to a willing nursing assistant. d. Arrange to supervise the new LPN/LVN as he performs the irrigation.
A client's nasogastric tube has been discontinued and needs to be removed. Place in order the steps the nurse will perform to remove this tube
1. Place the tube in a plastic bag. 2. Ask the client to take a deep breath and to hold it. 3. Smoothly withdraw the tube. 4. Pinch the tube with the gloved hand. 5. Observe the intactness of the tube. 6. Apply clean gloves.
A 61-year-old client with diabetes mellitus has physician's orders for meticulous foot care. Which of the following is the best rationale for the order?
1. The aging process causes increased skin breakdown. 2. There is increased neuropathy with this pathology that places the client at risk. 3. The client probably has a history of poor hygienic care. 4. The lower extremities are difficult to see and therefore hard to maintain with good hygiene.