a nurse is teaching a client how to perform self catheterization which of the following instructions should the nurse include
Logo

Nursing Elites

ATI LPN

LPN Fundamentals of Nursing

1. When teaching a client how to perform self-catheterization, which of the following instructions should be included?

Correct answer: C

Rationale: To ensure effective drainage, the catheter should be inserted 2-4 inches into the urethra. This length allows the catheter to reach the bladder, bypass the urethral sphincters, and ensure proper drainage without causing discomfort or injury. Using sterile gloves, cleaning the catheter with alcohol, and performing the procedure every 8 hours are not accurate instructions for self-catheterization.

2. A healthcare provider is assessing a client who has anemia. Which of the following findings should the healthcare provider expect?

Correct answer: B

Rationale: Pallor is a common finding in clients with anemia due to decreased hemoglobin levels. Anemia leads to reduced oxygen-carrying capacity in the blood, resulting in pale skin and mucous membranes, which is known as pallor. Bradycardia, hypertension, and jaundice are typically not associated with anemia.

3. A healthcare professional is planning to collect a stool specimen for ova and parasites from a client with diarrhea. Which of the following actions should the healthcare professional take when collecting the specimen?

Correct answer: D

Rationale: When collecting a stool specimen for ova and parasites, it is essential to place the specimen collection container in a biohazard bag. This practice ensures proper handling of potentially infectious material and prevents contamination with microorganisms. The biohazard bag should be labeled with the client's information for easy identification and proper tracking throughout the testing process. Instructing the client to defecate into a clean container is incorrect as it may introduce contaminants. Transferring the specimen to a sterile container is unnecessary and can increase the risk of contamination. Refrigerating the collected specimen is also not recommended as it may alter the sample and affect the test results.

4. A client with a new diagnosis of COPD is being taught about dietary management. Which of the following statements should be included in the teaching?

Correct answer: A

Rationale: The correct statement to include in the teaching for a client with a new diagnosis of COPD is that they should increase their intake of high-calorie foods. This is important to help maintain energy levels and manage weight. COPD can lead to increased energy expenditure due to the increased work of breathing, making it crucial to consume adequate calories for energy. High-calorie foods can help prevent weight loss and support overall nutritional status in COPD patients. Choice B is incorrect because high-protein foods are important for maintaining muscle mass in COPD patients. Choice C is incorrect as there is no need to avoid foods that contain lactose unless the client is lactose intolerant. Choice D is incorrect as increasing high-fiber foods may exacerbate symptoms like bloating and gas in COPD patients.

5. When providing teaching to a client with a new prescription for digoxin, which of the following instructions should the nurse include?

Correct answer: A

Rationale: The correct instruction for a client with a new prescription for digoxin is to take their pulse before taking the medication. Digoxin can lead to bradycardia as a side effect, and monitoring the pulse helps in assessing the heart rate prior to medication administration. This precaution allows for the identification of any significant changes in heart rate that may require medical attention.

Similar Questions

When should discharge planning begin for a client admitted to a long-term care facility for rehabilitation after a total hip arthroplasty?
A healthcare professional is preparing to administer an intramuscular injection to a client. Which of the following actions should the healthcare professional take?
A client has a new diagnosis of hyperthyroidism and is being taught about dietary management. Which of the following statements should the nurse include in the teaching?
A client is experiencing dysphagia. Which of the following actions should the nurse take?
A client is receiving enteral feedings through an NG tube. Which of the following actions should be taken to prevent aspiration?

Access More Features

ATI LPN Basic
$69.99/ 30 days

  • 5,000 Questions with answers
  • All ATI courses Coverage
  • 30 days access

ATI LPN Premium
$149.99/ 90 days

  • 5,000 Questions with answers
  • All ATI courses Coverage
  • 30 days access

Other Courses