a nurse is using an open irrigation technique to irrigate a clients indwelling urinary catheter which of the following actions should the nurse take

ATI RN

ATI Leadership Practice B

1. When using an open irrigation technique to irrigate a client's indwelling urinary catheter, which of the following actions should the nurse take?

A. Position the client in a side-lying position.
B. Perform the irrigation using a 20-mL syringe.
C. Instill 15 mL of irrigation fluid into the catheter with each flush.
D. Measure and record the amount of irrigant used.

Correct answer: B

Rationale: When irrigating an indwelling urinary catheter, the nurse should use a 20-mL syringe for the procedure. This syringe size helps to provide adequate pressure for effective irrigation. Placing the client in a side-lying position is not necessary for this procedure. Instilling a specific amount of irrigation fluid into the catheter is not mentioned in the scenario. Subtracting the amount of irrigant used from the client's urine output is not a standard practice in catheter irrigation.

2. Which of the following is likely to facilitate union activity?

A. Managers communicating effectively with employees
B. Managers listening to concerns of employees
C. Belief that low wages cause job dissatisfaction
D. Belief that supervisors are not understanding of unionizing

Correct answer: C

Rationale: The correct answer is C because according to a study by Bilchik (2000), organizations are more likely to unionize if there is a belief that low wages cause job dissatisfaction. Choices A and B focus on effective communication and listening, which may actually prevent union activity by addressing employee concerns directly. Choice D, the belief that supervisors are not understanding of unionizing, may lead to dissatisfaction but doesn't directly facilitate union activity as the belief that low wages cause job dissatisfaction does.

3. Which of the following can cause negative effects on decision making among groups?

A. Rationalization
B. Groupthink
C. Risky shift
D. Dialectical inquiry

Correct answer: B

Rationale: The correct answer is B: Groupthink. Groupthink is a negative phenomenon occurring in highly cohesive, isolated groups where members tend to think alike, which hinders critical thinking and can lead to poor decision-making. Rationalization refers to justifying or explaining behaviors or decisions in a logical manner. Risky shift is a phenomenon in groups where decisions become riskier or more extreme than individual members would make on their own. Dialectical inquiry is a technique used to counteract groupthink by encouraging debate and presenting opposing viewpoints to arrive at more thoughtful decisions.

4. An active 28-year-old male with type 1 diabetes is being seen in the endocrine clinic. Which finding may indicate the need for a change in therapy?

A. Hemoglobin A1C level 6.2%
B. Blood pressure 146/88 mmHg
C. Heart rate at rest 58 beats/minute
D. High-density lipoprotein (HDL) level 65 mg/dL

Correct answer: B

Rationale: The correct answer is B. In a young adult with type 1 diabetes, a blood pressure of 146/88 mmHg may indicate the need for a change in therapy as it is above the recommended target levels. High blood pressure can increase the risk of cardiovascular complications in diabetic patients. Choices A, C, and D are within normal ranges and do not necessarily indicate the need for an immediate change in therapy. A Hemoglobin A1C level of 6.2% is generally considered good control for a diabetic patient, a resting heart rate of 58 beats/minute is normal for an active individual, and an HDL level of 65 mg/dL is considered to be in the desirable range for heart health.