The next day, you are the nurse assigned to M.Z.'s care. You notice that the NAP emptying the gravity drain
is not wearing personal protection devices.
You also observe that the drainage port of the drainage bag
was contaminated during the process because the NAP allowed it to touch the floor.
What issues need to be considered in protecting M.Z.'s safety? Describe your actions in
working with the nursing assistant.
• M.Z.'s safety must be maintained. The Foley catheter is a direct route for bacterial contamination
and a potential source of infection. Fortunately, the contamination of the spout should not
represent a problem because most gravity drain bags have an antireflux valve that prevents
bacteria from moving through the tubing in a retrograde direction into the bladder. Urinary
drainage bags have varying features. It is necessary to become familiar with the equipment and
the special precautions for use.
• Approaching the NAP is a delicate matter. First, establish his or her knowledge of the specific
procedure, such as the use of gloves and the correct procedure for emptying a gravity drain. Teach
and review rationale and principles; discuss possible consequences of poor procedure, including
spread of infection to either party and to other residents and staff.
• It might be necessary to report the NAP's actions to the supervisor.
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A wife is discussing her co-worker with her husband. The wife states, "I am so tired of her. She is always dressing in flamboyant clothing and pretends to have an accent
She doesn't relate well to any of our co-workers because she is so superficial." Which personality disorder is being described? a. Paranoid b. Impulsive c. Histrionic d. Narcissistic
When a nurse is unsure if the client has understood a teaching or message, which of these actions should be taken?
a. Ask the client if the message is understood. b. Ask the client to repeat or demonstrate the process. c. Document the teaching session. d. Reteach the concept.
The nurse admits a patient, age 72, who is scheduled for a vaginal hysterectomy. In what position will this patient be placed in the operating room for her surgery?
a. Lateral b. Lithotomy c. Trendelenburg d. Supine
Why is operational reasoning necessary for research?
a. Abstract concepts are of no use to nursing. b. Standard interventions are obtained from operational reasoning. c. It allows the researcher to measure the concepts studied. d. It facilitates the researcher's rapport with families.